Refine DICOM classification labels and loading
This commit is contained in:
Codex
@@ -1,6 +1,6 @@
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# PACS DICOM 网页端
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# DICOM 阅片分类系统
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本目录提供本地 DICOM 检查浏览、序列查看和序列部位标注界面。
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本目录提供本地 DICOM 检查浏览、序列查看和序列分类标注界面。
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## Docker 启动
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@@ -40,10 +40,10 @@ uvicorn app:app --host 127.0.0.1 --port 8107
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- 中间序列列表：从已处理 DICOM 目录扫描 DICOM 头信息。
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- 右侧查看器：支持轴位原始、矢状位重建、冠状位重建，窗宽窗位、旋转、切片进度条。
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- 影像操作：支持鼠标滚轮缩放、拖拽平移、按钮缩放和复位。
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- 图像叠层：可显示/隐藏患者、检查、方向、张数、窗宽窗位和缩放信息。
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- 图像叠层：可显示/隐藏患者、检查、张数、窗宽窗位和缩放信息。
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- DICOM 信息：查看患者、检查、序列、像素间距、切片间距等元数据。
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- 序列列表：默认按拍摄时间升序排序，可切换时间升降序或张数升降序；略过序列固定在最下方，并在略过分组内继续按当前排序规则排列。
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- 序列标注：选择略过、平扫 CT、头颈部、胸部、上腹部、下腹部、盆腔；略过可与部位共存；DICOM 标识含 CHEST/ABDOMEN 时会自动预选胸部/上腹部；切换界面前会提示保存；上腹部需继续选择动脉期、门静脉期或无法判别。
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- 序列列表：默认按拍摄时间升序排序，可切换时间升降序或张数升降序；略过/不采用序列固定在最下方，并在略过/不采用分组内继续按当前排序规则排列。
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- 序列标注：选择略过/不采用、平扫 CT、头颈部、胸部、上腹部、下腹部、盆腔；略过/不采用可与部位共存；DICOM 标识含 CHEST/ABDOMEN 时会自动预选胸部/上腹部；切换界面前会提示保存；上腹部需继续选择动脉期、门静脉期、延迟期或无法判别，胸部需继续选择肺窗、纵隔窗或无法判别。
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- AI 识别：配置 Kimi 后，可把序列张数及轴位原始、矢状位重建、冠状位重建代表图像传入 AI，自动给出部位、期相和备注建议。
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- 设置：支持用户创建、角色权限展示、数据库状态和 AI 配置查看。
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- 标注写入 PostgreSQL 表 `pacs_dicom_series_annotations`，人工标注和 AI 标注分别记录。
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@@ -64,14 +64,15 @@ WINDOWS = {
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}
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BODY_PARTS = {"head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"}
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PHASES = {"arterial", "portal_venous", "unknown", ""}
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PHASES = {"arterial", "portal_venous", "delayed", "unknown", ""}
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CHEST_WINDOWS = {"lung", "mediastinal", "unknown", ""}
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ROLES = {
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"管理员": ["查看DICOM", "编辑标注", "AI识别", "用户创建", "权限控制", "系统设置"],
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"阅片员": ["查看DICOM", "编辑标注", "AI识别"],
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"访客": ["查看DICOM"],
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}
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app = FastAPI(title="PACS DICOM Viewer")
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app = FastAPI(title="DICOM 阅片分类系统")
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app.mount("/static", StaticFiles(directory=STATIC_DIR), name="static")
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TOKENS: dict[str, str] = {}
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@@ -91,6 +92,9 @@ class AnnotationIn(BaseModel):
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upper_abdomen_phase: str = ""
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manual_upper_abdomen_phase: str = ""
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ai_upper_abdomen_phase: str = ""
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chest_window: str = ""
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manual_chest_window: str = ""
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ai_chest_window: str = ""
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plain_ct: bool = False
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manual_plain_ct: bool | None = None
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ai_plain_ct: bool | None = None
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@@ -187,6 +191,9 @@ def ensure_annotation_table() -> None:
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upper_abdomen_phase text NOT NULL DEFAULT '',
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manual_upper_abdomen_phase text NOT NULL DEFAULT '',
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ai_upper_abdomen_phase text NOT NULL DEFAULT '',
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chest_window text NOT NULL DEFAULT '',
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manual_chest_window text NOT NULL DEFAULT '',
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ai_chest_window text NOT NULL DEFAULT '',
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plain_ct boolean NOT NULL DEFAULT false,
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manual_plain_ct boolean,
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ai_plain_ct boolean,
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@@ -208,6 +215,12 @@ def ensure_annotation_table() -> None:
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ADD COLUMN IF NOT EXISTS manual_upper_abdomen_phase text NOT NULL DEFAULT '';
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ALTER TABLE public.pacs_dicom_series_annotations
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ADD COLUMN IF NOT EXISTS ai_upper_abdomen_phase text NOT NULL DEFAULT '';
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ALTER TABLE public.pacs_dicom_series_annotations
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ADD COLUMN IF NOT EXISTS chest_window text NOT NULL DEFAULT '';
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ALTER TABLE public.pacs_dicom_series_annotations
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ADD COLUMN IF NOT EXISTS manual_chest_window text NOT NULL DEFAULT '';
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ALTER TABLE public.pacs_dicom_series_annotations
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ADD COLUMN IF NOT EXISTS ai_chest_window text NOT NULL DEFAULT '';
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ALTER TABLE public.pacs_dicom_series_annotations
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ADD COLUMN IF NOT EXISTS plain_ct boolean NOT NULL DEFAULT false;
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ALTER TABLE public.pacs_dicom_series_annotations
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@@ -475,6 +488,10 @@ def valid_phase(value: Any) -> str:
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return value if value in PHASES else ""
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def valid_chest_window(value: Any) -> str:
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return value if value in CHEST_WINDOWS else ""
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def bool_or_none(value: Any) -> bool | None:
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if value is None:
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return None
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@@ -502,6 +519,12 @@ def effective_phase(manual_phase: str, ai_phase: str, body_parts: list[str], ski
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return valid_phase(manual_phase) or valid_phase(ai_phase)
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def effective_chest_window(manual_window: str, ai_window: str, body_parts: list[str], skipped: bool) -> str:
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if "chest" not in body_parts:
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return ""
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return valid_chest_window(manual_window) or valid_chest_window(ai_window) or "unknown"
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def effective_plain_ct(manual_plain_ct: bool | None, ai_plain_ct: bool | None, fallback: bool, skipped: bool) -> bool:
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if manual_plain_ct is not None:
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return manual_plain_ct
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@@ -522,6 +545,10 @@ def normalize_annotation(row: dict[str, Any] | None, default_skipped: bool = Fal
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ai_phase = valid_phase(row.get("ai_upper_abdomen_phase") or "")
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if not manual_phase and not ai_phase:
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manual_phase = valid_phase(row.get("upper_abdomen_phase") or "")
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manual_chest_window = valid_chest_window(row.get("manual_chest_window") or "")
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ai_chest_window = valid_chest_window(row.get("ai_chest_window") or "")
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if not manual_chest_window and not ai_chest_window:
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manual_chest_window = valid_chest_window(row.get("chest_window") or "")
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body_parts = merge_parts(manual_parts, ai_parts, skipped)
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plain_ct = effective_plain_ct(
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bool_or_none(row.get("manual_plain_ct")),
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@@ -536,6 +563,9 @@ def normalize_annotation(row: dict[str, Any] | None, default_skipped: bool = Fal
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"upper_abdomen_phase": effective_phase(manual_phase, ai_phase, body_parts, skipped),
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"manual_upper_abdomen_phase": manual_phase,
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"ai_upper_abdomen_phase": ai_phase,
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"chest_window": effective_chest_window(manual_chest_window, ai_chest_window, body_parts, skipped),
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"manual_chest_window": manual_chest_window,
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"ai_chest_window": ai_chest_window,
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"plain_ct": plain_ct,
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"manual_plain_ct": bool_or_none(row.get("manual_plain_ct")),
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"ai_plain_ct": bool_or_none(row.get("ai_plain_ct")),
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@@ -548,16 +578,18 @@ def normalize_annotation(row: dict[str, Any] | None, default_skipped: bool = Fal
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}
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def dicom_auto_annotation(meta: dict[str, str]) -> tuple[list[str], str]:
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def dicom_auto_annotation(meta: dict[str, str]) -> tuple[list[str], str, str]:
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marker = f"{meta.get('BodyPartExamined', '')} {meta.get('SeriesDescription', '')}".upper()
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parts: list[str] = []
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phase = ""
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chest_window = ""
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if "CHEST" in marker and "chest" not in parts:
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parts.append("chest")
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chest_window = "unknown"
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if "ABDOMEN" in marker and "upper_abdomen" not in parts:
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parts.append("upper_abdomen")
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phase = "unknown"
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return parts, phase
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return parts, phase, chest_window
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def get_annotations(ct_number: str) -> dict[str, dict[str, Any]]:
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@@ -568,6 +600,7 @@ def get_annotations(ct_number: str) -> dict[str, dict[str, Any]]:
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SELECT
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series_instance_uid, body_parts, manual_body_parts, ai_body_parts,
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upper_abdomen_phase, manual_upper_abdomen_phase, ai_upper_abdomen_phase,
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chest_window, manual_chest_window, ai_chest_window,
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plain_ct, manual_plain_ct, ai_plain_ct, skipped, ai_skipped, notes, updated_at, ai_model, updated_by
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FROM public.pacs_dicom_series_annotations
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WHERE ct_number = {sql_literal(ct_number)}
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@@ -609,7 +642,7 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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file_map[uid] = [path for path, _ in items]
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raw_annotation = annotations.get(uid)
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annotation = normalize_annotation(raw_annotation)
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auto_parts, auto_phase = dicom_auto_annotation(first)
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auto_parts, auto_phase, auto_chest_window = dicom_auto_annotation(first)
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can_apply_auto = bool(auto_parts) and not annotation.get("body_parts")
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if can_apply_auto:
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annotation["manual_body_parts"] = auto_parts
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@@ -617,7 +650,10 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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if auto_phase:
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annotation["manual_upper_abdomen_phase"] = auto_phase
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annotation["upper_abdomen_phase"] = auto_phase
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auto_annotation_rows.append((uid, first, auto_parts, auto_phase))
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if auto_chest_window:
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annotation["manual_chest_window"] = auto_chest_window
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annotation["chest_window"] = auto_chest_window
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auto_annotation_rows.append((uid, first, auto_parts, auto_phase, auto_chest_window))
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default_skipped = len(items) < 80 and (not raw_annotation or annotation.get("updated_by") == "system")
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if default_skipped:
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annotation["skipped"] = True
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@@ -657,13 +693,14 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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}
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)
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for uid, first, auto_parts, auto_phase in auto_annotation_rows:
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for uid, first, auto_parts, auto_phase, auto_chest_window in auto_annotation_rows:
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try:
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pg_scalar(
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f"""
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INSERT INTO public.pacs_dicom_series_annotations (
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ct_number, study_instance_uid, series_instance_uid, series_description,
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body_parts, manual_body_parts, upper_abdomen_phase, manual_upper_abdomen_phase,
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chest_window, manual_chest_window,
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updated_by, updated_at
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)
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VALUES (
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@@ -675,6 +712,8 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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{sql_literal(json.dumps(auto_parts, ensure_ascii=False))}::jsonb,
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{sql_literal(auto_phase)},
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{sql_literal(auto_phase)},
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{sql_literal(auto_chest_window)},
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{sql_literal(auto_chest_window)},
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'system',
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now()
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)
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@@ -683,6 +722,8 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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manual_body_parts = EXCLUDED.manual_body_parts,
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upper_abdomen_phase = EXCLUDED.upper_abdomen_phase,
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manual_upper_abdomen_phase = EXCLUDED.manual_upper_abdomen_phase,
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chest_window = EXCLUDED.chest_window,
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manual_chest_window = EXCLUDED.manual_chest_window,
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updated_by = 'system',
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updated_at = now()
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WHERE pacs_dicom_series_annotations.updated_by = 'system'
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@@ -713,7 +754,7 @@ def scan_study(ct_number: str) -> dict[str, Any]:
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'',
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false,
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true,
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{sql_literal(f'少于80张默认略过（{count}张）')},
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{sql_literal(f'少于80张默认略过/不采用（{count}张）')},
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'system',
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now()
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)
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@@ -1008,6 +1049,8 @@ def save_annotation_payload(
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ai_parts: list[str],
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manual_phase: str,
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ai_phase: str,
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manual_chest_window: str,
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ai_chest_window: str,
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manual_plain_ct: bool | None,
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ai_plain_ct: bool | None,
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skipped: bool,
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@@ -1023,6 +1066,12 @@ def save_annotation_payload(
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manual_phase = valid_phase(manual_phase)
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ai_phase = valid_phase(ai_phase)
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phase = effective_phase(manual_phase, ai_phase, body_parts, skipped)
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manual_chest_window = valid_chest_window(manual_chest_window)
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ai_chest_window = valid_chest_window(ai_chest_window)
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if "chest" not in body_parts:
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manual_chest_window = ""
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ai_chest_window = ""
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chest_window = effective_chest_window(manual_chest_window, ai_chest_window, body_parts, skipped)
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plain_ct = effective_plain_ct(manual_plain_ct, ai_plain_ct, False, skipped)
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ensure_annotation_table()
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pg_scalar(
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@@ -1031,6 +1080,7 @@ def save_annotation_payload(
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ct_number, study_instance_uid, series_instance_uid, series_description,
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body_parts, manual_body_parts, ai_body_parts,
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upper_abdomen_phase, manual_upper_abdomen_phase, ai_upper_abdomen_phase,
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chest_window, manual_chest_window, ai_chest_window,
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plain_ct, manual_plain_ct, ai_plain_ct,
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skipped, ai_skipped, notes, ai_result, ai_model, updated_by, updated_at
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)
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@@ -1045,6 +1095,9 @@ def save_annotation_payload(
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{sql_literal(phase)},
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{sql_literal(manual_phase)},
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{sql_literal(ai_phase)},
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{sql_literal(chest_window)},
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{sql_literal(manual_chest_window)},
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{sql_literal(ai_chest_window)},
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{'true' if plain_ct else 'false'},
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{sql_bool_or_null(manual_plain_ct)},
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{sql_bool_or_null(ai_plain_ct)},
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@@ -1065,6 +1118,9 @@ def save_annotation_payload(
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upper_abdomen_phase = EXCLUDED.upper_abdomen_phase,
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manual_upper_abdomen_phase = EXCLUDED.manual_upper_abdomen_phase,
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ai_upper_abdomen_phase = EXCLUDED.ai_upper_abdomen_phase,
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chest_window = EXCLUDED.chest_window,
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manual_chest_window = EXCLUDED.manual_chest_window,
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ai_chest_window = EXCLUDED.ai_chest_window,
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plain_ct = EXCLUDED.plain_ct,
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manual_plain_ct = EXCLUDED.manual_plain_ct,
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ai_plain_ct = EXCLUDED.ai_plain_ct,
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@@ -1085,6 +1141,9 @@ def save_annotation_payload(
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"upper_abdomen_phase": phase,
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"manual_upper_abdomen_phase": manual_phase,
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"ai_upper_abdomen_phase": ai_phase,
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"chest_window": chest_window,
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"manual_chest_window": manual_chest_window,
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"ai_chest_window": ai_chest_window,
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"plain_ct": plain_ct,
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"manual_plain_ct": manual_plain_ct,
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"ai_plain_ct": ai_plain_ct,
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@@ -1110,6 +1169,8 @@ def save_annotation(ct_number: str, series_uid: str, data: AnnotationIn, user: s
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ai_parts=data.ai_body_parts,
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manual_phase=data.manual_upper_abdomen_phase or data.upper_abdomen_phase,
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ai_phase=data.ai_upper_abdomen_phase,
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manual_chest_window=data.manual_chest_window or data.chest_window,
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ai_chest_window=data.ai_chest_window,
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manual_plain_ct=data.manual_plain_ct if data.manual_plain_ct is not None else (data.plain_ct if data.plain_ct and data.ai_plain_ct is None else None),
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ai_plain_ct=data.ai_plain_ct,
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skipped=data.skipped,
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@@ -1168,7 +1229,7 @@ def parse_ai_json(content: str) -> dict[str, Any]:
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try:
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return json.loads(text)
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except Exception:
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return {"body_parts": [], "upper_abdomen_phase": "", "skipped": False, "notes": content[:800]}
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return {"body_parts": [], "upper_abdomen_phase": "", "chest_window": "", "plain_ct": False, "skipped": False, "notes": content[:800]}
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@app.post("/api/series/{ct_number}/{series_uid}/ai")
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@@ -1189,8 +1250,9 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
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"lower_abdomen(下腹部), pelvis(盆腔)。一个序列可包含多个部位。"
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"如果不是可用于标注的平扫CT影像、定位像、剂量报告或无法判断，请 skipped=true。"
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"请同时判断 plain_ct 是否为平扫CT。"
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"如果包含上腹部，请判断期相: arterial(动脉期)、portal_venous(门静脉期)、unknown(无法判别)。"
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"只返回JSON: {\"body_parts\":[],\"upper_abdomen_phase\":\"\",\"plain_ct\":false,\"skipped\":false,\"notes\":\"\"}。"
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"如果包含上腹部，请判断期相: arterial(动脉期)、portal_venous(门静脉期)、delayed(延迟期)、unknown(无法判别)。"
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"如果包含胸部，请判断窗位: lung(肺窗)、mediastinal(纵隔窗)、unknown(无法判别)。"
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"只返回JSON: {\"body_parts\":[],\"upper_abdomen_phase\":\"\",\"chest_window\":\"\",\"plain_ct\":false,\"skipped\":false,\"notes\":\"\"}。"
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f"PACS张数: {series_row.get('count', 0)}。"
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f"序列描述: {series_row.get('description','')}；DICOM部位: {series_row.get('body_part_dicom','')}。"
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),
|
||||
@@ -1232,6 +1294,11 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
|
||||
phase = suggestion.get("upper_abdomen_phase", "")
|
||||
if phase not in PHASES or "upper_abdomen" not in body_parts:
|
||||
phase = ""
|
||||
chest_window = valid_chest_window(suggestion.get("chest_window", ""))
|
||||
if "chest" not in body_parts:
|
||||
chest_window = ""
|
||||
elif not chest_window:
|
||||
chest_window = "unknown"
|
||||
current = normalize_annotation(series_row.get("annotation", {}))
|
||||
annotation = save_annotation_payload(
|
||||
ct_number=ct_number,
|
||||
@@ -1241,6 +1308,8 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
|
||||
ai_parts=[] if skipped else body_parts,
|
||||
manual_phase=current.get("manual_upper_abdomen_phase", ""),
|
||||
ai_phase="" if skipped else phase,
|
||||
manual_chest_window=current.get("manual_chest_window", ""),
|
||||
ai_chest_window="" if skipped else chest_window,
|
||||
manual_plain_ct=current.get("manual_plain_ct"),
|
||||
ai_plain_ct=None if skipped else plain_ct,
|
||||
skipped=skipped,
|
||||
|
||||
@@ -22,6 +22,9 @@ const app = {
|
||||
drag: null,
|
||||
seriesSort: "timeAsc",
|
||||
showOverlay: true,
|
||||
thumbUrls: new Map(),
|
||||
thumbObserver: null,
|
||||
thumbSeries: new WeakMap(),
|
||||
};
|
||||
|
||||
const $ = (id) => document.getElementById(id);
|
||||
@@ -97,7 +100,11 @@ function timeKey(series) {
|
||||
}
|
||||
|
||||
function phaseLabel(value) {
|
||||
return { arterial: "动脉期", portal_venous: "门静脉期", unknown: "无法判别" }[value] || "";
|
||||
return { arterial: "动脉期", portal_venous: "门静脉期", delayed: "延迟期", unknown: "无法判别" }[value] || "";
|
||||
}
|
||||
|
||||
function chestWindowLabel(value) {
|
||||
return { lung: "肺窗", mediastinal: "纵隔窗", unknown: "无法判别" }[value] || "";
|
||||
}
|
||||
|
||||
function partLabel(value) {
|
||||
@@ -254,7 +261,6 @@ async function selectStudy(ctNumber) {
|
||||
setSeries(data.series || []);
|
||||
refreshStudyAnnotationSummary();
|
||||
renderStudies();
|
||||
if (app.series.length) selectSeries(app.series[0].series_uid);
|
||||
} catch (err) {
|
||||
$("seriesGrid").innerHTML = `<p class="error-line">${escapeHtml(err.message)}</p>`;
|
||||
}
|
||||
@@ -270,7 +276,7 @@ function seriesTags(series) {
|
||||
const annotation = series.annotation || {};
|
||||
const tags = [];
|
||||
if (annotation.skipped) {
|
||||
tags.push({ label: "略过", source: annotation.ai_skipped ? "ai" : "manual" });
|
||||
tags.push({ label: "略过/不采用", source: annotation.ai_skipped ? "ai" : "manual" });
|
||||
}
|
||||
if (annotation.plain_ct) {
|
||||
tags.push({ label: "平扫CT", source: annotation.manual_plain_ct !== null && annotation.manual_plain_ct !== undefined ? "manual" : "ai" });
|
||||
@@ -280,7 +286,19 @@ function seriesTags(series) {
|
||||
}
|
||||
const phase = phaseLabel(annotation.upper_abdomen_phase);
|
||||
if (phase) {
|
||||
tags.push({ label: phase, source: annotation.manual_upper_abdomen_phase ? "manual" : "ai" });
|
||||
tags.push({
|
||||
label: phase,
|
||||
source: annotation.manual_upper_abdomen_phase ? "manual" : annotation.ai_upper_abdomen_phase ? "ai" : "",
|
||||
warn: annotation.upper_abdomen_phase === "unknown",
|
||||
});
|
||||
}
|
||||
const chestWindow = chestWindowLabel(annotation.chest_window);
|
||||
if (chestWindow) {
|
||||
tags.push({
|
||||
label: chestWindow,
|
||||
source: annotation.manual_chest_window ? "manual" : annotation.ai_chest_window ? "ai" : "",
|
||||
warn: annotation.chest_window === "unknown",
|
||||
});
|
||||
}
|
||||
if (series.body_part_dicom) tags.unshift({ label: series.body_part_dicom, source: "" });
|
||||
return tags;
|
||||
@@ -288,6 +306,7 @@ function seriesTags(series) {
|
||||
|
||||
function renderSeries() {
|
||||
const grid = $("seriesGrid");
|
||||
if (app.thumbObserver) app.thumbObserver.disconnect();
|
||||
grid.innerHTML = "";
|
||||
for (const series of app.series) {
|
||||
const skipped = Boolean(series.annotation?.skipped);
|
||||
@@ -300,18 +319,18 @@ function renderSeries() {
|
||||
<div class="thumb">
|
||||
<img alt="" />
|
||||
<b>${Number(series.count || 0)} 张</b>
|
||||
${skipped ? "<i>略过</i>" : ""}
|
||||
${skipped ? "<i>略过/不采用</i>" : ""}
|
||||
</div>
|
||||
<div class="series-copy">
|
||||
<strong>${escapeHtml(series.description || "未命名序列")}</strong>
|
||||
<span class="shot-time">拍摄 ${escapeHtml(timeRange(series))}</span>
|
||||
<small>序列 ${escapeHtml(series.series_number || "-")} · ${escapeHtml(series.rows || "-")}×${escapeHtml(series.columns || "-")} · ${escapeHtml(series.modality || "")}</small>
|
||||
<div class="tag-line">${tags.length ? tags.map((tag) => `<em class="${tag.source ? `tag-${tag.source}` : ""}">${escapeHtml(tag.label)}</em>`).join("") : "<em>未标注</em>"}</div>
|
||||
<div class="tag-line">${tags.length ? tags.map((tag) => `<em class="${[tag.source ? `tag-${tag.source}` : "", tag.warn ? "tag-warn" : ""].filter(Boolean).join(" ")}">${escapeHtml(tag.label)}</em>`).join("") : "<em>未标注</em>"}</div>
|
||||
</div>
|
||||
`;
|
||||
card.onclick = () => selectSeries(series.series_uid);
|
||||
grid.appendChild(card);
|
||||
loadThumb(series, card.querySelector("img"));
|
||||
queueThumb(series, card.querySelector("img"));
|
||||
}
|
||||
}
|
||||
|
||||
@@ -321,14 +340,53 @@ function imageUrlFor(series = app.activeSeries, index = app.slice, windowName =
|
||||
|
||||
async function loadThumb(series, img) {
|
||||
try {
|
||||
const key = thumbKey(series);
|
||||
if (app.thumbUrls.has(key)) {
|
||||
img.src = app.thumbUrls.get(key);
|
||||
return;
|
||||
}
|
||||
const index = Math.floor((Number(series.count) || 1) / 2);
|
||||
const blob = await request(imageUrlFor(series, index, "soft", "axial")).then((res) => res.blob());
|
||||
img.src = URL.createObjectURL(blob);
|
||||
const url = URL.createObjectURL(blob);
|
||||
app.thumbUrls.set(key, url);
|
||||
img.src = url;
|
||||
} catch (_) {
|
||||
img.removeAttribute("src");
|
||||
}
|
||||
}
|
||||
|
||||
function thumbKey(series) {
|
||||
return `${series.ct_number || app.study?.ct_number || ""}:${series.series_uid}`;
|
||||
}
|
||||
|
||||
function queueThumb(series, img) {
|
||||
const key = thumbKey(series);
|
||||
if (app.thumbUrls.has(key)) {
|
||||
img.src = app.thumbUrls.get(key);
|
||||
return;
|
||||
}
|
||||
if (!("IntersectionObserver" in window)) {
|
||||
loadThumb(series, img);
|
||||
return;
|
||||
}
|
||||
if (!app.thumbObserver) {
|
||||
app.thumbObserver = new IntersectionObserver(
|
||||
(entries) => {
|
||||
for (const entry of entries) {
|
||||
if (!entry.isIntersecting) continue;
|
||||
const target = entry.target;
|
||||
app.thumbObserver.unobserve(target);
|
||||
const queuedSeries = app.thumbSeries.get(target);
|
||||
if (queuedSeries) loadThumb(queuedSeries, target);
|
||||
}
|
||||
},
|
||||
{ rootMargin: "320px 0px" },
|
||||
);
|
||||
}
|
||||
app.thumbSeries.set(img, series);
|
||||
app.thumbObserver.observe(img);
|
||||
}
|
||||
|
||||
function maxSlice() {
|
||||
if (!app.activeSeries) return 0;
|
||||
if (app.plane === "sagittal") return Math.max(0, Number(app.activeSeries.columns || 1) - 1);
|
||||
@@ -367,6 +425,7 @@ function resetViewer() {
|
||||
$("imageEmpty").classList.remove("hidden");
|
||||
$("sliceText").textContent = "0 / 0";
|
||||
$("saveState").textContent = "已保存";
|
||||
clearAnnotationControls();
|
||||
app.dirty = false;
|
||||
app.saving = false;
|
||||
resetViewState();
|
||||
@@ -386,19 +445,12 @@ function windowInfo() {
|
||||
};
|
||||
}
|
||||
|
||||
function orientationLabels() {
|
||||
if (app.plane === "sagittal") return { top: "H", bottom: "F", left: "A", right: "P" };
|
||||
if (app.plane === "coronal") return { top: "H", bottom: "F", left: "R", right: "L" };
|
||||
return { top: "A", bottom: "P", left: "R", right: "L" };
|
||||
}
|
||||
|
||||
function updateOverlay() {
|
||||
const overlay = $("imageOverlay");
|
||||
overlay.classList.toggle("hidden", !app.showOverlay || !app.activeSeries);
|
||||
$("overlayToggle").textContent = app.showOverlay ? "隐藏信息" : "显示信息";
|
||||
if (!app.activeSeries) return;
|
||||
const s = app.activeSeries;
|
||||
const orient = orientationLabels();
|
||||
const win = windowInfo();
|
||||
const age = ageText(s.patient_birth_date, s.study_date || app.study?.study_date);
|
||||
const sex = s.patient_sex || "";
|
||||
@@ -412,10 +464,6 @@ function updateOverlay() {
|
||||
s.institution_name || "",
|
||||
s.manufacturer || "",
|
||||
].filter(Boolean).map(escapeHtml).join("<br />");
|
||||
document.querySelector(".ov-left-mid").textContent = orient.left;
|
||||
document.querySelector(".ov-right-mid").textContent = orient.right;
|
||||
document.querySelector(".ov-top-mid").textContent = orient.top;
|
||||
document.querySelector(".ov-bottom-mid").textContent = orient.bottom;
|
||||
document.querySelector(".ov-left-bottom").textContent = `Img:${app.slice + 1}/${maxSlice() + 1}`;
|
||||
document.querySelector(".ov-right-bottom").innerHTML = `WW:${Math.round(win.ww)}<br />WL:${Math.round(win.wl)}<br />Zoom:${app.zoom.toFixed(2)}`;
|
||||
}
|
||||
@@ -451,6 +499,9 @@ function cloneAnnotation(annotation = {}) {
|
||||
upper_abdomen_phase: annotation.upper_abdomen_phase || "",
|
||||
manual_upper_abdomen_phase: annotation.manual_upper_abdomen_phase || "",
|
||||
ai_upper_abdomen_phase: annotation.ai_upper_abdomen_phase || "",
|
||||
chest_window: annotation.chest_window || "",
|
||||
manual_chest_window: annotation.manual_chest_window || "",
|
||||
ai_chest_window: annotation.ai_chest_window || "",
|
||||
plain_ct: Boolean(annotation.plain_ct),
|
||||
manual_plain_ct: annotation.manual_plain_ct ?? null,
|
||||
ai_plain_ct: annotation.ai_plain_ct ?? null,
|
||||
@@ -471,6 +522,11 @@ function effectivePhase() {
|
||||
return app.draft.manual_upper_abdomen_phase || app.draft.ai_upper_abdomen_phase || "";
|
||||
}
|
||||
|
||||
function effectiveChestWindow() {
|
||||
if (!effectiveParts().includes("chest")) return "";
|
||||
return app.draft.manual_chest_window || app.draft.ai_chest_window || "unknown";
|
||||
}
|
||||
|
||||
function effectivePlainCt() {
|
||||
if (!app.draft) return false;
|
||||
if (app.draft.manual_plain_ct !== null && app.draft.manual_plain_ct !== undefined) return Boolean(app.draft.manual_plain_ct);
|
||||
@@ -484,6 +540,17 @@ function setLabelSource(input, source) {
|
||||
label.classList.toggle("ai-selected", source === "ai");
|
||||
}
|
||||
|
||||
function clearAnnotationControls() {
|
||||
$("annotationNotes").value = "";
|
||||
document.querySelectorAll(".part-grid input, input[name=phase], input[name=chestWindow]").forEach((input) => {
|
||||
input.checked = false;
|
||||
input.disabled = true;
|
||||
setLabelSource(input, "");
|
||||
});
|
||||
$("phaseBox").classList.remove("visible");
|
||||
$("chestWindowBox").classList.remove("visible");
|
||||
}
|
||||
|
||||
function applyAnnotationControls() {
|
||||
if (!app.draft) return;
|
||||
const parts = new Set(effectiveParts());
|
||||
@@ -513,6 +580,14 @@ function applyAnnotationControls() {
|
||||
setLabelSource(input, app.draft.manual_upper_abdomen_phase === input.value ? "manual" : app.draft.ai_upper_abdomen_phase === input.value ? "ai" : "");
|
||||
});
|
||||
$("phaseBox").classList.toggle("visible", parts.has("upper_abdomen"));
|
||||
|
||||
const chestWindow = effectiveChestWindow();
|
||||
document.querySelectorAll("input[name=chestWindow]").forEach((input) => {
|
||||
input.checked = input.value === chestWindow;
|
||||
input.disabled = false;
|
||||
setLabelSource(input, app.draft.manual_chest_window === input.value ? "manual" : app.draft.ai_chest_window === input.value ? "ai" : "");
|
||||
});
|
||||
$("chestWindowBox").classList.toggle("visible", parts.has("chest"));
|
||||
}
|
||||
|
||||
function hydrateAnnotation() {
|
||||
@@ -525,6 +600,7 @@ function updateLocalAnnotation(annotation) {
|
||||
const normalized = cloneAnnotation(annotation);
|
||||
normalized.body_parts = asList(annotation.body_parts);
|
||||
normalized.upper_abdomen_phase = annotation.upper_abdomen_phase || "";
|
||||
normalized.chest_window = annotation.chest_window || "";
|
||||
app.draft = normalized;
|
||||
app.activeSeries.annotation = normalized;
|
||||
const index = app.series.findIndex((item) => item.series_uid === app.activeSeries.series_uid);
|
||||
@@ -545,6 +621,9 @@ function annotationPayload() {
|
||||
upper_abdomen_phase: effectivePhase(),
|
||||
manual_upper_abdomen_phase: app.draft.manual_upper_abdomen_phase,
|
||||
ai_upper_abdomen_phase: app.draft.ai_upper_abdomen_phase,
|
||||
chest_window: effectiveChestWindow(),
|
||||
manual_chest_window: app.draft.manual_chest_window,
|
||||
ai_chest_window: app.draft.ai_chest_window,
|
||||
plain_ct: effectivePlainCt(),
|
||||
manual_plain_ct: app.draft.manual_plain_ct,
|
||||
ai_plain_ct: app.draft.ai_plain_ct,
|
||||
@@ -610,6 +689,9 @@ function handlePartChange(event) {
|
||||
} else if (BODY_PARTS.includes(value)) {
|
||||
if (input.checked) {
|
||||
app.draft.manual_body_parts = uniq([...app.draft.manual_body_parts, value]);
|
||||
if (value === "chest" && !app.draft.manual_chest_window && !app.draft.ai_chest_window) {
|
||||
app.draft.manual_chest_window = "unknown";
|
||||
}
|
||||
} else {
|
||||
app.draft.manual_body_parts = app.draft.manual_body_parts.filter((part) => part !== value);
|
||||
app.draft.ai_body_parts = app.draft.ai_body_parts.filter((part) => part !== value);
|
||||
@@ -617,10 +699,15 @@ function handlePartChange(event) {
|
||||
app.draft.manual_upper_abdomen_phase = "";
|
||||
app.draft.ai_upper_abdomen_phase = "";
|
||||
}
|
||||
if (value === "chest") {
|
||||
app.draft.manual_chest_window = "";
|
||||
app.draft.ai_chest_window = "";
|
||||
}
|
||||
}
|
||||
}
|
||||
app.draft.body_parts = effectiveParts();
|
||||
app.draft.upper_abdomen_phase = effectivePhase();
|
||||
app.draft.chest_window = effectiveChestWindow();
|
||||
app.draft.plain_ct = effectivePlainCt();
|
||||
applyAnnotationControls();
|
||||
markDirty();
|
||||
@@ -635,6 +722,15 @@ function handlePhaseChange(event) {
|
||||
markDirty();
|
||||
}
|
||||
|
||||
function handleChestWindowChange(event) {
|
||||
if (!app.draft) return;
|
||||
app.draft.manual_chest_window = event.target.value;
|
||||
if (app.draft.ai_chest_window !== event.target.value) app.draft.ai_chest_window = "";
|
||||
app.draft.chest_window = effectiveChestWindow();
|
||||
applyAnnotationControls();
|
||||
markDirty();
|
||||
}
|
||||
|
||||
async function runAI() {
|
||||
if (!app.study || !app.activeSeries) return;
|
||||
const button = $("aiClassify");
|
||||
@@ -866,6 +962,7 @@ function wire() {
|
||||
$("resetView").addEventListener("click", resetViewState);
|
||||
document.querySelectorAll(".part-grid input").forEach((input) => input.addEventListener("change", handlePartChange));
|
||||
document.querySelectorAll("input[name=phase]").forEach((input) => input.addEventListener("change", handlePhaseChange));
|
||||
document.querySelectorAll("input[name=chestWindow]").forEach((input) => input.addEventListener("change", handleChestWindowChange));
|
||||
$("annotationNotes").addEventListener("input", () => {
|
||||
if (!app.draft) return;
|
||||
app.draft.notes = $("annotationNotes").value;
|
||||
|
||||
@@ -3,14 +3,14 @@
|
||||
<head>
|
||||
<meta charset="utf-8" />
|
||||
<meta name="viewport" content="width=device-width, initial-scale=1" />
|
||||
<title>PACS DICOM Viewer</title>
|
||||
<title>DICOM 阅片分类系统</title>
|
||||
<link rel="stylesheet" href="/static/styles.css" />
|
||||
</head>
|
||||
<body>
|
||||
<div id="loginOverlay" class="login-overlay">
|
||||
<form id="loginForm" class="login-panel">
|
||||
<div class="brand-mark">PACS</div>
|
||||
<h1>DICOM 阅片标注</h1>
|
||||
<h1>DICOM 阅片分类系统</h1>
|
||||
<label>
|
||||
<span>账号</span>
|
||||
<input id="username" autocomplete="username" value="admin" />
|
||||
@@ -29,7 +29,7 @@
|
||||
<div class="product">
|
||||
<div class="logo-dot"></div>
|
||||
<div>
|
||||
<strong>PACS DICOM Viewer</strong>
|
||||
<strong>DICOM 阅片分类系统</strong>
|
||||
<span id="activeStudyLabel">未选择检查</span>
|
||||
</div>
|
||||
</div>
|
||||
@@ -92,14 +92,8 @@
|
||||
<div class="image-wrap">
|
||||
<img id="dicomImage" alt="" />
|
||||
<div id="imageOverlay" class="image-overlay">
|
||||
<div class="crosshair crosshair-v"></div>
|
||||
<div class="crosshair crosshair-h"></div>
|
||||
<div class="ov ov-left-top"></div>
|
||||
<div class="ov ov-right-top"></div>
|
||||
<div class="ov ov-left-mid"></div>
|
||||
<div class="ov ov-right-mid"></div>
|
||||
<div class="ov ov-top-mid"></div>
|
||||
<div class="ov ov-bottom-mid"></div>
|
||||
<div class="ov ov-left-bottom"></div>
|
||||
<div class="ov ov-right-bottom"></div>
|
||||
</div>
|
||||
@@ -123,7 +117,7 @@
|
||||
<span><i class="ai-dot"></i>AI</span>
|
||||
</div>
|
||||
<div class="part-grid">
|
||||
<label class="skip-option"><input type="checkbox" value="skip" />略过</label>
|
||||
<label class="skip-option"><input type="checkbox" value="skip" />略过/不采用</label>
|
||||
<label class="plain-option"><input type="checkbox" value="plain_ct" />平扫CT</label>
|
||||
<label><input type="checkbox" value="head_neck" />头颈部</label>
|
||||
<label><input type="checkbox" value="chest" />胸部</label>
|
||||
@@ -136,7 +130,16 @@
|
||||
<div class="phase-options">
|
||||
<label><input name="phase" type="radio" value="arterial" />动脉期</label>
|
||||
<label><input name="phase" type="radio" value="portal_venous" />门静脉期</label>
|
||||
<label><input name="phase" type="radio" value="unknown" />无法判别</label>
|
||||
<label><input name="phase" type="radio" value="delayed" />延迟期</label>
|
||||
<label class="warn-option"><input name="phase" type="radio" value="unknown" />无法判别</label>
|
||||
</div>
|
||||
</div>
|
||||
<div id="chestWindowBox" class="phase-box chest-window-box">
|
||||
<span>胸部窗位</span>
|
||||
<div class="phase-options chest-window-options">
|
||||
<label><input name="chestWindow" type="radio" value="lung" />肺窗</label>
|
||||
<label><input name="chestWindow" type="radio" value="mediastinal" />纵隔窗</label>
|
||||
<label class="warn-option"><input name="chestWindow" type="radio" value="unknown" />无法判别</label>
|
||||
</div>
|
||||
</div>
|
||||
<div class="annotation-actions">
|
||||
|
||||
@@ -471,6 +471,12 @@ button:disabled {
|
||||
background: rgba(240, 181, 78, 0.1);
|
||||
}
|
||||
|
||||
.tag-line .tag-warn {
|
||||
border-color: rgba(251, 113, 133, 0.72);
|
||||
color: #fecdd3;
|
||||
background: rgba(251, 113, 133, 0.1);
|
||||
}
|
||||
|
||||
.viewer-pane {
|
||||
min-width: 0;
|
||||
display: grid;
|
||||
@@ -556,27 +562,6 @@ button:disabled {
|
||||
display: none;
|
||||
}
|
||||
|
||||
.crosshair {
|
||||
position: absolute;
|
||||
opacity: 0.72;
|
||||
}
|
||||
|
||||
.crosshair-v {
|
||||
top: 4%;
|
||||
bottom: 4%;
|
||||
left: 50%;
|
||||
width: 1px;
|
||||
background: #ff3b30;
|
||||
}
|
||||
|
||||
.crosshair-h {
|
||||
left: 3%;
|
||||
right: 3%;
|
||||
top: 50%;
|
||||
height: 1px;
|
||||
background: #21c55d;
|
||||
}
|
||||
|
||||
.ov {
|
||||
position: absolute;
|
||||
max-width: 42%;
|
||||
@@ -594,30 +579,6 @@ button:disabled {
|
||||
text-align: right;
|
||||
}
|
||||
|
||||
.ov-left-mid {
|
||||
left: 12px;
|
||||
top: 50%;
|
||||
transform: translateY(-50%);
|
||||
}
|
||||
|
||||
.ov-right-mid {
|
||||
right: 54px;
|
||||
top: 50%;
|
||||
transform: translateY(-50%);
|
||||
}
|
||||
|
||||
.ov-top-mid {
|
||||
top: 12px;
|
||||
left: 50%;
|
||||
transform: translateX(-50%);
|
||||
}
|
||||
|
||||
.ov-bottom-mid {
|
||||
bottom: 12px;
|
||||
left: 50%;
|
||||
transform: translateX(-50%);
|
||||
}
|
||||
|
||||
.ov-left-bottom {
|
||||
left: 14px;
|
||||
bottom: 12px;
|
||||
@@ -747,6 +708,12 @@ button:disabled {
|
||||
box-shadow: inset 3px 0 0 rgba(240, 181, 78, 0.95);
|
||||
}
|
||||
|
||||
.phase-options label.warn-option:has(input:checked) {
|
||||
border-color: rgba(251, 113, 133, 0.78);
|
||||
color: #fecdd3;
|
||||
background: rgba(251, 113, 133, 0.12);
|
||||
}
|
||||
|
||||
.part-grid .skip-option:has(input:checked) {
|
||||
border-color: rgba(240, 181, 78, 0.72);
|
||||
background: rgba(240, 181, 78, 0.12);
|
||||
@@ -780,10 +747,14 @@ button:disabled {
|
||||
|
||||
.phase-options {
|
||||
display: grid;
|
||||
grid-template-columns: repeat(3, minmax(110px, 1fr));
|
||||
grid-template-columns: repeat(4, minmax(100px, 1fr));
|
||||
gap: 8px;
|
||||
}
|
||||
|
||||
.chest-window-options {
|
||||
grid-template-columns: repeat(3, minmax(110px, 1fr));
|
||||
}
|
||||
|
||||
.annotation-actions {
|
||||
display: grid;
|
||||
grid-template-columns: 118px minmax(0, 1fr);
|
||||
|
||||
Reference in New Issue
Block a user