Update PACS DICOM navigation and summaries

DICOM_and_UPP配准/app.py

@@ -594,14 +594,20 @@ def annotation_labels_sql() -> str:
     return f"""
         SELECT
             a.ct_number,
-            COALESCE(jsonb_agg(DISTINCT part.value) FILTER (WHERE part.value IS NOT NULL), '[]'::jsonb) AS body_part_keys,
+            COALESCE(jsonb_agg(DISTINCT
+                CASE
+                    WHEN part.value IN ('lower_abdomen', 'pelvis') THEN 'abdomen_pelvis'
+                    ELSE part.value
+                END
+            ) FILTER (WHERE part.value IS NOT NULL), '[]'::jsonb) AS body_part_keys,
             COALESCE(jsonb_agg(DISTINCT
                 CASE part.value
                     WHEN 'head_neck' THEN '头颈部'
                     WHEN 'chest' THEN '胸部'
                     WHEN 'upper_abdomen' THEN '上腹部'
-                    WHEN 'lower_abdomen' THEN '下腹部'
+                    WHEN 'abdomen_pelvis' THEN '腹盆部'
-                    WHEN 'pelvis' THEN '盆腔'
+                    WHEN 'lower_abdomen' THEN '腹盆部'
+                    WHEN 'pelvis' THEN '腹盆部'
                     ELSE NULL
                 END
             ) FILTER (WHERE part.value IS NOT NULL), '[]'::jsonb) AS body_part_labels
@@ -688,7 +694,7 @@ def cases(
         )
     if status_filter in {"registered", "unregistered"}:
         clauses.append(f"registration_status = {sql_literal(status_filter)}")
-    if body_part in {"head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"}:
+    if body_part in {"head_neck", "chest", "upper_abdomen", "abdomen_pelvis"}:
         clauses.append(f"body_part_keys ? {sql_literal(body_part)}")
     if algorithm_model.strip():
         clauses.append(f"algorithm_model ILIKE {sql_literal('%' + algorithm_model.strip().replace('%', '').replace('_', '') + '%')}")
@@ -808,6 +814,9 @@ def resolve_study_root(study: dict[str, Any]) -> Path:
         return root
     target_folder = str(study.get("target_folder_name") or "")
     if target_folder and PROCESSED_ROOT.exists():
+        direct = PROCESSED_ROOT / target_folder
+        if direct.exists():
+            return direct
         found = next(PROCESSED_ROOT.rglob(target_folder), None)
         if found:
             return found
@@ -843,10 +852,8 @@ def annotation_labels(row: dict[str, Any]) -> list[str]:
         elif part == "upper_abdomen":
             phase = {"plain": "平扫", "arterial": "动脉期", "portal_venous": "门脉期", "delayed": "延迟期", "unknown": "无法判别"}.get(row.get("upper_abdomen_phase") or "unknown", "无法判别")
             labels.append(f"上腹部-{phase}")
-        elif part == "lower_abdomen":
+        elif part in {"abdomen_pelvis", "lower_abdomen", "pelvis"}:
-            labels.append("下腹部")
+            labels.append("腹盆部")
-        elif part == "pelvis":
-            labels.append("盆腔")
     return labels
 
 

PACS_DICOM处理/数据处理工作区/preprocess_pacs_dicom_batch.py

@@ -10,6 +10,7 @@ from __future__ import annotations
 
 import argparse
 import csv
+import errno
 import json
 import os
 import re
@@ -42,6 +43,8 @@ DICOM_TAGS = [
     "SOPInstanceUID",
 ]
 
+CT_NUMBER_RE = re.compile(r"\bD?CT\d{6,}\b", re.IGNORECASE)
+
 
 @dataclass
 class StudyRow:
@@ -100,8 +103,22 @@ def parse_export_folder_name(name: str) -> tuple[str, str]:
     return ct_number.strip(), patient_name.strip()
 
 
+def normalize_ct_text(value: str) -> str:
+    return value.strip().upper()
+
+
+def extract_ct_numbers(*values: object) -> list[str]:
+    candidates: list[str] = []
+    for value in values:
+        for match in CT_NUMBER_RE.findall(text(value)):
+            normalized = normalize_ct_text(match)
+            if normalized not in candidates:
+                candidates.append(normalized)
+    return candidates
+
+
 def canonical_ct_number(accession_number: str) -> str:
-    accession_number = accession_number.strip()
+    accession_number = normalize_ct_text(accession_number)
     match = re.fullmatch(r"((?:D)?CT\d+)-\d+", accession_number)
     if match:
         return match.group(1)
@@ -164,6 +181,13 @@ def scan_study_folder(batch_name: str, folder: Path, processed_batch_root: Path)
 
     raw_accession_numbers = sorted(counters["AccessionNumber"])
     accession_numbers = sorted({canonical_ct_number(value) for value in raw_accession_numbers if value})
+    fallback_ct_numbers = extract_ct_numbers(
+        source_ct_number,
+        folder.name,
+        *counters["StudyID"].keys(),
+        *counters["AccessionNumber"].keys(),
+        *counters["PatientID"].keys(),
+    )
     study_instance_uids = sorted(counters["StudyInstanceUID"])
 
     status = "ok"
@@ -174,6 +198,10 @@ def scan_study_folder(batch_name: str, folder: Path, processed_batch_root: Path)
     if raw_accession_numbers and raw_accession_numbers != accession_numbers:
         notes.append("normalized_accession_suffixes")
     if not accession_numbers:
+        if fallback_ct_numbers:
+            notes.append("missing_accession_number_used_folder_or_dicom_fallback")
+            ct_number = fallback_ct_numbers[0]
+        else:
             status = "error"
             notes.append("missing_accession_number")
             ct_number = source_ct_number
@@ -251,19 +279,153 @@ def hardlink_tree(source_folder: Path, target_folder: Path) -> tuple[int, int]:
                     continue
             except OSError:
                 pass
-            if target.stat().st_size != source.stat().st_size:
+            if target.stat().st_size == source.stat().st_size:
+                already_ok += 1
+                continue
+            else:
                 raise RuntimeError(f"target exists with different size: {target}")
-            target.unlink()
         try:
             os.link(source, target)
         except OSError as exc:
-            if exc.errno != 18:  # EXDEV
+            if exc.errno not in {errno.EXDEV, errno.EPERM, errno.EOPNOTSUPP}:
+                raise
+            shutil.copyfile(source, target)
+            try:
+                shutil.copystat(source, target)
+            except OSError as stat_exc:
+                if stat_exc.errno not in {errno.EPERM, errno.EOPNOTSUPP}:
                     raise
-            shutil.copy2(source, target)
         linked += 1
     return linked, already_ok
 
 
+def write_sync_sql(path: Path, manifest_path: Path) -> None:
+    sql = f"""BEGIN;
+
+CREATE TABLE IF NOT EXISTS public.pacs_dicom_files (
+    ct_number text PRIMARY KEY,
+    batch_name text NOT NULL,
+    source_folder_name text,
+    source_ct_number text,
+    source_patient_name text,
+    target_folder_name text,
+    needs_ct_number_fix boolean NOT NULL DEFAULT false,
+    patient_name_dicom text,
+    patient_id text,
+    patient_birth_date text,
+    patient_sex text,
+    study_date text,
+    study_time text,
+    study_id text,
+    modality text,
+    body_part_examined text,
+    protocol_name text,
+    study_description text,
+    accession_numbers text,
+    raw_accession_numbers text,
+    study_instance_uids text,
+    series_count integer,
+    dicom_file_count integer,
+    total_file_count integer,
+    total_bytes bigint,
+    source_path text,
+    processed_path text,
+    status text,
+    notes text,
+    created_at timestamptz NOT NULL DEFAULT now(),
+    updated_at timestamptz NOT NULL DEFAULT now()
+);
+
+CREATE TEMP TABLE pacs_dicom_files_stage (
+    batch_name text,
+    source_folder_name text,
+    source_ct_number text,
+    source_patient_name text,
+    ct_number text,
+    target_folder_name text,
+    needs_ct_number_fix text,
+    patient_name_dicom text,
+    patient_id text,
+    patient_birth_date text,
+    patient_sex text,
+    study_date text,
+    study_time text,
+    study_id text,
+    modality text,
+    body_part_examined text,
+    protocol_name text,
+    study_description text,
+    accession_numbers text,
+    raw_accession_numbers text,
+    study_instance_uids text,
+    series_count text,
+    dicom_file_count text,
+    total_file_count text,
+    total_bytes text,
+    source_path text,
+    processed_path text,
+    status text,
+    notes text
+) ON COMMIT DROP;
+
+\\copy pacs_dicom_files_stage FROM '{manifest_path}' WITH (FORMAT csv, HEADER true, ENCODING 'UTF8')
+
+INSERT INTO public.pacs_dicom_files (
+    ct_number, batch_name, source_folder_name, source_ct_number, source_patient_name,
+    target_folder_name, needs_ct_number_fix, patient_name_dicom, patient_id,
+    patient_birth_date, patient_sex, study_date, study_time, study_id, modality,
+    body_part_examined, protocol_name, study_description, accession_numbers,
+    raw_accession_numbers, study_instance_uids, series_count, dicom_file_count,
+    total_file_count, total_bytes, source_path, processed_path, status, notes, updated_at
+)
+SELECT
+    ct_number, batch_name, source_folder_name, source_ct_number, source_patient_name,
+    target_folder_name, COALESCE(NULLIF(needs_ct_number_fix, '')::boolean, false),
+    patient_name_dicom, patient_id, patient_birth_date, patient_sex, study_date,
+    study_time, study_id, modality, body_part_examined, protocol_name,
+    study_description, accession_numbers, raw_accession_numbers, study_instance_uids,
+    NULLIF(series_count, '')::integer,
+    NULLIF(dicom_file_count, '')::integer,
+    NULLIF(total_file_count, '')::integer,
+    NULLIF(total_bytes, '')::bigint,
+    source_path, processed_path, status, notes, now()
+FROM pacs_dicom_files_stage
+ON CONFLICT (ct_number) DO UPDATE SET
+    batch_name = EXCLUDED.batch_name,
+    source_folder_name = EXCLUDED.source_folder_name,
+    source_ct_number = EXCLUDED.source_ct_number,
+    source_patient_name = EXCLUDED.source_patient_name,
+    target_folder_name = EXCLUDED.target_folder_name,
+    needs_ct_number_fix = EXCLUDED.needs_ct_number_fix,
+    patient_name_dicom = EXCLUDED.patient_name_dicom,
+    patient_id = EXCLUDED.patient_id,
+    patient_birth_date = EXCLUDED.patient_birth_date,
+    patient_sex = EXCLUDED.patient_sex,
+    study_date = EXCLUDED.study_date,
+    study_time = EXCLUDED.study_time,
+    study_id = EXCLUDED.study_id,
+    modality = EXCLUDED.modality,
+    body_part_examined = EXCLUDED.body_part_examined,
+    protocol_name = EXCLUDED.protocol_name,
+    study_description = EXCLUDED.study_description,
+    accession_numbers = EXCLUDED.accession_numbers,
+    raw_accession_numbers = EXCLUDED.raw_accession_numbers,
+    study_instance_uids = EXCLUDED.study_instance_uids,
+    series_count = EXCLUDED.series_count,
+    dicom_file_count = EXCLUDED.dicom_file_count,
+    total_file_count = EXCLUDED.total_file_count,
+    total_bytes = EXCLUDED.total_bytes,
+    source_path = EXCLUDED.source_path,
+    processed_path = EXCLUDED.processed_path,
+    status = EXCLUDED.status,
+    notes = EXCLUDED.notes,
+    updated_at = now();
+
+COMMIT;
+"""
+    path.write_text(sql, encoding="utf-8")
+
+
 def main() -> int:
     parser = argparse.ArgumentParser()
     parser.add_argument("--source", type=Path, required=True)
@@ -272,11 +434,12 @@ def main() -> int:
     parser.add_argument("--batch-name", default="")
     parser.add_argument("--apply", action="store_true", help="create processed hardlink tree")
     parser.add_argument("--write-file-manifest", action="store_true")
+    parser.add_argument("--legacy-batch-layout", action="store_true", help="store processed studies under processed-root/batch-name")
     args = parser.parse_args()
 
     source_root = args.source.resolve()
     batch_name = args.batch_name or source_root.name
-    processed_batch_root = (args.processed_root / batch_name).resolve()
+    processed_batch_root = (args.processed_root / batch_name if args.legacy_batch_layout else args.processed_root).absolute()
     result_dir = (args.results_root / batch_name).resolve()
     result_dir.mkdir(parents=True, exist_ok=True)
 
@@ -311,6 +474,7 @@ def main() -> int:
     study_fieldnames = list(asdict(study_rows[0]).keys()) if study_rows else list(StudyRow.__dataclass_fields__)
 
     write_csv(result_dir / "study_manifest.csv", study_dicts, study_fieldnames)
+    write_sync_sql(result_dir / "sync_pacs_dicom_files.sql", (result_dir / "study_manifest.csv").resolve())
     write_csv(
         result_dir / "rename_plan.csv",
         [

PACS_DICOM处理/数据处理网页端/README.md

@@ -43,7 +43,7 @@ uvicorn app:app --host 127.0.0.1 --port 8107
 - 图像叠层：可显示/隐藏患者、检查、张数、窗宽窗位和缩放信息。
 - DICOM 信息：查看患者、检查、序列、像素间距、切片间距等元数据。
 - 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。
-- 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。
+- 序列标注：选择略过/不采用、头颈部、胸部、上腹部、腹盆部；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。
 - AI 识别：配置并启用 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。
 - 设置：管理员独立页面，支持用户创建、角色权限展示、数据库状态、AI 开关、检查摘要立刻更新。
 - 标注写入 PostgreSQL 表 `pacs_dicom_series_annotations`，人工标注和 AI 标注分别记录。

PACS_DICOM处理/数据处理网页端/app.py

@@ -15,7 +15,7 @@ import urllib.error
 import urllib.request
 import zipfile
 from collections import defaultdict
-from datetime import datetime, timedelta
+from datetime import datetime, timedelta, timezone
 from pathlib import Path
 from typing import Any
 
@@ -32,6 +32,15 @@ from starlette.background import BackgroundTask
 APP_DIR = Path(__file__).resolve().parent
 PACS_ROOT = APP_DIR.parent
 STATIC_DIR = APP_DIR / "static"
+LOCAL_TZ = timezone(timedelta(hours=8), "Asia/Shanghai")
+
+
+def local_now() -> datetime:
+    return datetime.now(LOCAL_TZ)
+
+
+def local_time_text() -> str:
+    return local_now().strftime("%Y-%m-%d %H:%M:%S")
 
 
 def load_env_file() -> None:
@@ -68,16 +77,16 @@ WINDOWS = {
     "contrast": (90.0, 140.0),
 }
 
-BODY_PART_ORDER = ["head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"]
+BODY_PART_ORDER = ["head_neck", "chest", "upper_abdomen", "abdomen_pelvis"]
 BODY_PARTS = set(BODY_PART_ORDER)
+BODY_PART_ALIASES = {"lower_abdomen": "abdomen_pelvis", "pelvis": "abdomen_pelvis"}
 PHASES = {"plain", "arterial", "portal_venous", "delayed", "unknown", ""}
 CHEST_WINDOWS = {"lung", "mediastinal", "unknown", ""}
 BODY_PART_LABELS = {
     "head_neck": "头颈部",
     "chest": "胸部",
     "upper_abdomen": "上腹部",
-    "lower_abdomen": "下腹部",
+    "abdomen_pelvis": "腹盆部",
-    "pelvis": "盆腔",
 }
 PHASE_LABELS = {"plain": "平扫", "arterial": "动脉期", "portal_venous": "门静脉期", "delayed": "延迟期", "unknown": "无法判别"}
 CHEST_WINDOW_LABELS = {"lung": "肺窗", "mediastinal": "纵隔窗", "unknown": "无法判别"}
@@ -471,6 +480,11 @@ def settings_page() -> FileResponse:
     return FileResponse(STATIC_DIR / "index.html")
 
 
+@app.get("/favicon.ico")
+def favicon() -> Response:
+    return Response(status_code=204)
+
+
 @app.post("/api/auth/login")
 def login(data: LoginIn) -> dict[str, str]:
     if authenticate_web_user(data.username, data.password):
@@ -498,7 +512,7 @@ def status() -> dict[str, Any]:
         "database": {"ok": db_ok, "message": db_message, "host": PGHOST, "database": PGDATABASE, "table": PGTABLE, "rows": table_count},
         "dicom": {"processed_root": str(PROCESSED_ROOT), "exists": PROCESSED_ROOT.exists()},
         "ai": {"configured": bool(KIMI_API_KEY), "enabled": ai_enabled(), "provider": "Kimi", "name": KIMI_API_NAME, "model": KIMI_MODEL},
-        "server_time": time.strftime("%Y-%m-%d %H:%M:%S"),
+        "server_time": local_time_text(),
     }
 
 
@@ -646,6 +660,9 @@ def resolve_study_root(study: dict[str, Any]) -> Path:
 
     target_folder = str(study.get("target_folder_name") or "")
     if target_folder:
+        direct = PROCESSED_ROOT / target_folder
+        if direct.exists():
+            return direct
         direct_matches = list(PROCESSED_ROOT.glob(f"*/{target_folder}"))
         if direct_matches:
             return direct_matches[0]
@@ -751,7 +768,7 @@ def build_series_export_zip(ct_number: str, series_uids: list[str]) -> tuple[str
         remove_file(temp_path)
         raise HTTPException(status_code=500, detail=f"导出失败：{exc}") from exc
 
-    filename = f"PACS_DICOM_{safe_archive_name(ct_number)}_{time.strftime('%Y%m%d_%H%M%S')}.zip"
+    filename = f"PACS_DICOM_{safe_archive_name(ct_number)}_{local_now().strftime('%Y%m%d_%H%M%S')}.zip"
     return temp_path, filename
 
 
@@ -811,7 +828,12 @@ def sort_key(item: tuple[Path, dict[str, str]]) -> tuple[float, float, str]:
 def valid_parts(parts: Any) -> list[str]:
     if not isinstance(parts, list):
         return []
-    return [part for part in parts if part in BODY_PARTS]
+    normalized: list[str] = []
+    for value in parts:
+        part = BODY_PART_ALIASES.get(str(value), str(value))
+        if part in BODY_PARTS and part not in normalized:
+            normalized.append(part)
+    return normalized
 
 
 def valid_phase(value: Any) -> str:
@@ -1162,7 +1184,7 @@ def study_summary_payload(data: dict[str, Any]) -> dict[str, Any]:
         "unannotated_series": max(0, total - annotated),
         "undetermined_series": undetermined,
         "body_parts": body_parts,
-        "summary_updated_at": time.strftime("%Y-%m-%d %H:%M:%S"),
+        "summary_updated_at": local_time_text(),
     }
 
 
@@ -1197,12 +1219,17 @@ def save_study_summary(summary: dict[str, Any]) -> None:
         pass
 
 
-def all_ct_numbers() -> list[str]:
+def all_ct_numbers(missing_summary_only: bool = False) -> list[str]:
+    where = ""
+    if missing_summary_only:
+        where = "WHERE s.ct_number IS NULL OR COALESCE(s.series_count, 0) = 0"
     rows = pg_json_rows(
         f"""
-        SELECT ct_number
+        SELECT p.ct_number
-        FROM public.{PGTABLE}
+        FROM public.{PGTABLE} p
-        ORDER BY study_date DESC NULLS LAST, study_time DESC NULLS LAST, ct_number
+        LEFT JOIN public.pacs_dicom_study_summaries s USING (ct_number)
+        {where}
+        ORDER BY p.study_date DESC NULLS LAST, p.study_time DESC NULLS LAST, p.ct_number
         """,
         timeout=20,
     )
@@ -1212,7 +1239,7 @@ def all_ct_numbers() -> list[str]:
 def refresh_all_study_summaries(reason: str = "manual") -> None:
     if not SUMMARY_REFRESH_LOCK.acquire(blocking=False):
         return
-    SUMMARY_REFRESH_STATE.update({"running": True, "started_at": time.strftime("%Y-%m-%d %H:%M:%S"), "finished_at": "", "message": f"{reason} 刷新中"})
+    SUMMARY_REFRESH_STATE.update({"running": True, "started_at": local_time_text(), "finished_at": "", "message": f"{reason} 刷新中"})
     try:
         numbers = all_ct_numbers()
         for index, ct_number in enumerate(numbers, start=1):
@@ -1223,16 +1250,16 @@ def refresh_all_study_summaries(reason: str = "manual") -> None:
                 SUMMARY_REFRESH_STATE["message"] = f"{reason} 刷新中：{index}/{len(numbers)}"
             except Exception as exc:  # noqa: BLE001
                 SUMMARY_REFRESH_STATE["message"] = f"{ct_number} 刷新失败：{exc}"
-        SUMMARY_REFRESH_STATE.update({"finished_at": time.strftime("%Y-%m-%d %H:%M:%S"), "message": f"{reason} 刷新完成：{len(numbers)} 个检查"})
+        SUMMARY_REFRESH_STATE.update({"finished_at": local_time_text(), "message": f"{reason} 刷新完成：{len(numbers)} 个检查"})
     except Exception as exc:  # noqa: BLE001
-        SUMMARY_REFRESH_STATE.update({"finished_at": time.strftime("%Y-%m-%d %H:%M:%S"), "message": f"{reason} 刷新失败：{exc}"})
+        SUMMARY_REFRESH_STATE.update({"finished_at": local_time_text(), "message": f"{reason} 刷新失败：{exc}"})
     finally:
         SUMMARY_REFRESH_STATE["running"] = False
         SUMMARY_REFRESH_LOCK.release()
 
 
 def next_four_am() -> datetime:
-    now = datetime.now()
+    now = local_now()
     target = now.replace(hour=4, minute=0, second=0, microsecond=0)
     if target <= now:
         target += timedelta(days=1)
@@ -1241,7 +1268,7 @@ def next_four_am() -> datetime:
 
 def summary_scheduler_loop() -> None:
     while True:
-        sleep_seconds = max(60.0, (next_four_am() - datetime.now()).total_seconds())
+        sleep_seconds = max(60.0, (next_four_am() - local_now()).total_seconds())
         time.sleep(sleep_seconds)
         refresh_all_study_summaries("凌晨4点定时")
 
@@ -1642,7 +1669,7 @@ def save_annotation_payload(
             "skipped": skipped,
             "ai_skipped": ai_skipped,
             "notes": notes,
-            "updated_at": time.strftime("%Y-%m-%dT%H:%M:%S"),
+            "updated_at": local_now().strftime("%Y-%m-%dT%H:%M:%S"),
             "ai_model": ai_model or series_row.get("annotation", {}).get("ai_model", ""),
             "updated_by": user,
         }
@@ -1741,7 +1768,7 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
             "text": (
                 "请根据这组CT序列的代表图像判断该序列所属部位。"
                 "可选部位键: head_neck(头颈部), chest(胸部), upper_abdomen(上腹部), "
-                "lower_abdomen(下腹部), pelvis(盆腔)。一个序列可包含多个部位。"
+                "abdomen_pelvis(腹盆部)。一个序列可包含多个部位。"
                 "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。"
                 "如果包含上腹部，请判断期相: plain(平扫)、arterial(动脉期)、portal_venous(门静脉期)、delayed(延迟期)、unknown(无法判别)。"
                 "如果包含胸部，请判断窗位: lung(肺窗)、mediastinal(纵隔窗)、unknown(无法判别)。"
@@ -1824,13 +1851,18 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
 
 @app.get("/api/settings")
 def settings(_: str = Depends(require_admin)) -> dict[str, Any]:
+    summary_refresh = {
+        **SUMMARY_REFRESH_STATE,
+        "timezone": "Asia/Shanghai",
+        "next_scheduled_at": next_four_am().strftime("%Y-%m-%d %H:%M:%S"),
+    }
     return {
         "users": web_users(),
         "roles": [{"name": name, "permissions": permissions} for name, permissions in ROLES.items()],
         "database": {"host": PGHOST, "port": PGPORT, "database": PGDATABASE, "table": PGTABLE},
         "ai": {"provider": "Kimi", "name": KIMI_API_NAME, "model": KIMI_MODEL, "configured": bool(KIMI_API_KEY), "enabled": ai_enabled(), "url": KIMI_API_URL},
         "dicom": {"processed_root": str(PROCESSED_ROOT)},
-        "summary_refresh": SUMMARY_REFRESH_STATE,
+        "summary_refresh": summary_refresh,
     }
 
 

PACS_DICOM处理/数据处理网页端/static/app.js

@@ -41,7 +41,8 @@ const app = {
 
 const $ = (id) => document.getElementById(id);
 const clamp = (value, min, max) => Math.max(min, Math.min(max, value));
-const BODY_PARTS = ["head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"];
+const sleep = (ms) => new Promise((resolve) => setTimeout(resolve, ms));
+const BODY_PARTS = ["head_neck", "chest", "upper_abdomen", "abdomen_pelvis"];
 const WINDOW_PRESETS = {
   bone: { wl: 500, ww: 1800 },
   soft: { wl: 50, ww: 360 },
@@ -139,8 +140,7 @@ function partLabel(value) {
     head_neck: "头颈部",
     chest: "胸部",
     upper_abdomen: "上腹部",
-    lower_abdomen: "下腹部",
+    abdomen_pelvis: "腹盆部",
-    pelvis: "盆腔",
   }[value] || value;
 }
 
@@ -443,6 +443,23 @@ function initialCtNumber() {
   return new URLSearchParams(location.search).get("ct_number") || "";
 }
 
+function siblingSystemUrl(port, params = {}) {
+  const url = new URL(window.location.href);
+  url.port = String(port);
+  url.pathname = "/";
+  url.search = "";
+  Object.entries(params).forEach(([key, value]) => {
+    if (value) url.searchParams.set(key, value);
+  });
+  return url.toString();
+}
+
+function openSiblingSystem(kind) {
+  const ctNumber = app.study?.ct_number || initialCtNumber();
+  const port = kind === "registration" ? 8109 : 8108;
+  window.open(siblingSystemUrl(port, { ct_number: ctNumber }), "_blank");
+}
+
 async function loadStudies(preferredCtNumber = "") {
   const q = encodeURIComponent($("studySearch").value.trim());
   app.studies = sortStudies(await json(`/api/studies?q=${q}&limit=500`));
@@ -1323,7 +1340,8 @@ async function renderSettingsPage() {
       <div>
         <div class="settings-title"><h3>检查摘要</h3><span>${refresh.running ? "刷新中" : "待命"}</span></div>
         <dl>
-          <dt>计划刷新</dt><dd>每天 04:00</dd>
+          <dt>计划刷新</dt><dd>每天 04:00（北京时间，全量）</dd>
+          <dt>下次刷新</dt><dd>${escapeHtml(refresh.next_scheduled_at || "-")}</dd>
           <dt>最近开始</dt><dd>${escapeHtml(refresh.started_at || "-")}</dd>
           <dt>最近完成</dt><dd>${escapeHtml(refresh.finished_at || "-")}</dd>
           <dt>状态</dt><dd>${escapeHtml(refresh.message || "-")}</dd>
@@ -1382,6 +1400,15 @@ async function refreshSummariesNow() {
   button.disabled = true;
   button.textContent = "已开始刷新";
   await json("/api/settings/refresh-summaries", { method: "POST", body: JSON.stringify({}) });
+  let refresh = {};
+  for (let i = 0; i < 300; i += 1) {
+    await sleep(2000);
+    const settings = await json("/api/settings");
+    refresh = settings.summary_refresh || {};
+    button.textContent = refresh.running ? refresh.message || "刷新中" : "刷新完成";
+    if (!refresh.running) break;
+  }
+  await loadStudies(app.study?.ct_number || initialCtNumber());
   await renderSettingsPage();
 }
 
@@ -1455,6 +1482,8 @@ function wire() {
   $("loginForm").addEventListener("submit", login);
   $("logoutBtn").addEventListener("click", logout);
   $("settingsBtn").addEventListener("click", openSettings);
+  $("registrationLinkBtn").addEventListener("click", () => openSiblingSystem("registration"));
+  $("relationLinkBtn").addEventListener("click", () => openSiblingSystem("relation"));
   $("backToViewer").addEventListener("click", () => showViewerPage(true));
   $("infoBtn").addEventListener("click", openInfo);
   $("aiClassify").addEventListener("click", runAI);

PACS_DICOM处理/数据处理网页端/static/index.html

@@ -34,6 +34,8 @@
           </div>
         </div>
         <div class="top-actions">
+          <button id="registrationLinkBtn" class="ghost-btn nav-btn" type="button">进入配准系统</button>
+          <button id="relationLinkBtn" class="ghost-btn nav-btn accent" type="button">数据库关联可视化</button>
           <div id="dbStatus" class="status-pill offline">数据库</div>
           <button id="settingsBtn" class="ghost-btn">设置</button>
           <button id="logoutBtn" class="dark-btn">退出</button>
@@ -60,8 +62,7 @@
             <button data-study-part-filter="head_neck">头颈部</button>
             <button data-study-part-filter="chest">胸部</button>
             <button data-study-part-filter="upper_abdomen">上腹部</button>
-            <button data-study-part-filter="lower_abdomen">下腹部</button>
+            <button data-study-part-filter="abdomen_pelvis">腹盆部</button>
-            <button data-study-part-filter="pelvis">盆腔</button>
           </div>
           <input id="studySearch" class="search" placeholder="搜索检查号 / 姓名" />
           <div id="studyList" class="study-list"></div>
@@ -136,8 +137,7 @@
                 <label><input type="checkbox" value="head_neck" />头颈部</label>
                 <label><input type="checkbox" value="chest" />胸部</label>
                 <label><input type="checkbox" value="upper_abdomen" />上腹部</label>
-                <label><input type="checkbox" value="lower_abdomen" />下腹部</label>
+                <label><input type="checkbox" value="abdomen_pelvis" />腹盆部</label>
-                <label><input type="checkbox" value="pelvis" />盆腔</label>
               </div>
               <div id="phaseBox" class="phase-box">
                 <span>上腹部期相</span>

PACS_DICOM处理/数据处理网页端/static/styles.css

@@ -242,6 +242,22 @@ button:disabled {
   background: #070a10;
 }
 
+.nav-btn {
+  min-width: 118px;
+  color: #d8e8ff;
+}
+
+.nav-btn.accent {
+  border-color: rgba(25, 212, 194, 0.42);
+  color: #c7fff7;
+  background: rgba(25, 212, 194, 0.08);
+}
+
+.nav-btn.accent:hover {
+  border-color: rgba(25, 212, 194, 0.72);
+  background: rgba(25, 212, 194, 0.14);
+}
+
 .workspace {
   height: calc(100vh - 66px);
   display: grid;

数据库Web可视化/app.py

@@ -351,16 +351,18 @@ def relation_cte() -> str:
                         WHEN 'delayed' THEN '延迟期'
                         ELSE '无法判别'
                     END
-                    WHEN 'lower_abdomen' THEN '下腹部'
+                    WHEN 'abdomen_pelvis' THEN '腹盆部'
-                    WHEN 'pelvis' THEN '盆腔'
+                    WHEN 'lower_abdomen' THEN '腹盆部'
+                    WHEN 'pelvis' THEN '腹盆部'
                     ELSE NULL
                 END AS label,
                 CASE part.value
                     WHEN 'head_neck' THEN 1
                     WHEN 'chest' THEN 2
                     WHEN 'upper_abdomen' THEN 3
+                    WHEN 'abdomen_pelvis' THEN 4
                     WHEN 'lower_abdomen' THEN 4
-                    WHEN 'pelvis' THEN 5
+                    WHEN 'pelvis' THEN 4
                     ELSE 99
                 END AS sort_key
             FROM public.{PACS_ANNOTATION_TABLE_SQL} a
@@ -587,8 +589,7 @@ def relation_cte() -> str:
                     CASE WHEN ps.body_parts ? 'head_neck' THEN '头颈部' END,
                     CASE WHEN ps.body_parts ? 'chest' THEN '胸部' END,
                     CASE WHEN ps.body_parts ? 'upper_abdomen' THEN '上腹部' END,
-                    CASE WHEN ps.body_parts ? 'lower_abdomen' THEN '下腹部' END,
+                    CASE WHEN ps.body_parts ? 'abdomen_pelvis' OR ps.body_parts ? 'lower_abdomen' OR ps.body_parts ? 'pelvis' THEN '腹盆部' END
-                    CASE WHEN ps.body_parts ? 'pelvis' THEN '盆腔' END
                 ], NULL)) AS dicom_body_parts,
                 u.patient_name AS upp_patient_name,
                 COALESCE(u.patient_names, '[]'::jsonb) AS upp_patient_names,
@@ -683,9 +684,12 @@ def relation_where(q: str, status: str, algorithm_model: str, dicom_part: str) -
     if algorithm_model:
         clauses.append(f"algorithm_model = {sql_literal(algorithm_model)}")
     if dicom_part:
-        valid_parts = {"head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"}
+        valid_parts = {"head_neck", "chest", "upper_abdomen", "abdomen_pelvis"}
         if dicom_part not in valid_parts:
             raise HTTPException(status_code=400, detail="invalid DICOM part filter")
+        if dicom_part == "abdomen_pelvis":
+            clauses.append("(body_parts ? 'abdomen_pelvis' OR body_parts ? 'lower_abdomen' OR body_parts ? 'pelvis')")
+        else:
             clauses.append(f"body_parts ? {sql_literal(dicom_part)}")
     return "WHERE " + " AND ".join(clauses) if clauses else ""
 

数据库Web可视化/static/app.js

@@ -130,8 +130,7 @@ function partLabel(value) {
     head_neck: "头颈部",
     chest: "胸部",
     upper_abdomen: "上腹部",
-    lower_abdomen: "下腹部",
+    abdomen_pelvis: "腹盆部",
-    pelvis: "盆腔",
   }[value] || value;
 }
 

数据库Web可视化/static/index.html

@@ -47,8 +47,7 @@
               <option value="head_neck">头颈部</option>
               <option value="chest">胸部</option>
               <option value="upper_abdomen">上腹部</option>
-              <option value="lower_abdomen">下腹部</option>
+              <option value="abdomen_pelvis">腹盆部</option>
-              <option value="pelvis">盆腔</option>
             </select>
           </div>
           <div class="filter-grid">