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Add study body part filters

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Codex
2026-05-27 13:42:53 +08:00
parent fc681fa08b
commit 6653c147c8
4 changed files with 129 additions and 65 deletions
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62
PACS_DICOM处理/数据处理网页端/app.py
View File

@@ -65,7 +65,8 @@ WINDOWS = {
"contrast": (90.0, 140.0),
}
BODY_PARTS = {"head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"}
BODY_PART_ORDER = ["head_neck", "chest", "upper_abdomen", "lower_abdomen", "pelvis"]
BODY_PARTS = set(BODY_PART_ORDER)
PHASES = {"arterial", "portal_venous", "delayed", "unknown", ""}
CHEST_WINDOWS = {"lung", "mediastinal", "unknown", ""}
ROLES = {
@@ -300,11 +301,14 @@ def ensure_study_summary_table() -> None:
series_count integer NOT NULL DEFAULT 0,
annotated_series integer NOT NULL DEFAULT 0,
unannotated_series integer NOT NULL DEFAULT 0,
body_parts jsonb NOT NULL DEFAULT '[]'::jsonb,
completed boolean NOT NULL DEFAULT false,
completed_by text,
completed_at timestamptz,
refreshed_at timestamptz NOT NULL DEFAULT now()
);
ALTER TABLE public.pacs_dicom_study_summaries
ADD COLUMN IF NOT EXISTS body_parts jsonb NOT NULL DEFAULT '[]'::jsonb;
ALTER TABLE public.pacs_dicom_study_summaries
ADD COLUMN IF NOT EXISTS completed boolean NOT NULL DEFAULT false;
ALTER TABLE public.pacs_dicom_study_summaries
@@ -480,24 +484,31 @@ def status() -> dict[str, Any]:
}
def annotation_counts_by_study() -> dict[str, int]:
def annotation_overview_by_study() -> dict[str, dict[str, Any]]:
try:
annotations = pg_json_rows(
"""
SELECT ct_number, count(*)::int AS annotated_series
FROM public.pacs_dicom_series_annotations
WHERE skipped IS TRUE
OR jsonb_array_length(body_parts) > 0
OR plain_ct IS TRUE
OR NULLIF(notes, '') IS NOT NULL
OR ai_result IS NOT NULL
GROUP BY ct_number
SELECT
a.ct_number,
count(DISTINCT a.series_instance_uid) FILTER (
WHERE a.skipped IS TRUE
OR jsonb_array_length(a.body_parts) > 0
OR NULLIF(a.notes, '') IS NOT NULL
OR a.ai_result IS NOT NULL
)::int AS annotated_series,
COALESCE(
jsonb_agg(DISTINCT part.value) FILTER (WHERE part.value IS NOT NULL),
'[]'::jsonb
) AS body_parts
FROM public.pacs_dicom_series_annotations a
LEFT JOIN LATERAL jsonb_array_elements_text(a.body_parts) AS part(value) ON true
GROUP BY a.ct_number
""",
timeout=8,
)
except Exception:
return {}
return {row["ct_number"]: int(row["annotated_series"] or 0) for row in annotations}
return {row["ct_number"]: row for row in annotations}
def summary_rows_by_study() -> dict[str, dict[str, Any]]:
@@ -507,7 +518,7 @@ def summary_rows_by_study() -> dict[str, dict[str, Any]]:
"""
SELECT
ct_number, series_count, annotated_series, unannotated_series,
completed, completed_by, completed_at, refreshed_at
body_parts, completed, completed_by, completed_at, refreshed_at
FROM public.pacs_dicom_study_summaries
""",
timeout=8,
@@ -557,14 +568,16 @@ def studies(_: str = Depends(require_auth), q: str = "", limit: int = 200) -> li
LIMIT {int(limit)}
"""
)
annotation_map = annotation_counts_by_study()
annotation_map = annotation_overview_by_study()
summary_map = summary_rows_by_study()
for row in rows:
summary = summary_map.get(row["ct_number"])
annotation_summary = annotation_map.get(row["ct_number"], {})
total_series = int((summary or {}).get("series_count") or row.get("series_count") or 0)
row["series_count"] = total_series
row["annotated_series"] = min(total_series, int((summary or {}).get("annotated_series") if summary else annotation_map.get(row["ct_number"], 0)))
row["annotated_series"] = min(total_series, int((summary or {}).get("annotated_series") if summary else annotation_summary.get("annotated_series", 0)))
row["unannotated_series"] = max(0, total_series - int(row["annotated_series"]))
row["body_parts"] = valid_parts((summary or {}).get("body_parts") or annotation_summary.get("body_parts") or [])
row["completed"] = bool((summary or {}).get("completed", False))
row["completed_by"] = (summary or {}).get("completed_by", "")
row["completed_at"] = (summary or {}).get("completed_at", "")
@@ -978,11 +991,15 @@ def scan_study(ct_number: str) -> dict[str, Any]:
def study_summary_payload(data: dict[str, Any]) -> dict[str, Any]:
series_list = data.get("series", [])
total = len(series_list)
body_parts = [
part
for part in BODY_PART_ORDER
if any(part in valid_parts(row.get("annotation", {}).get("body_parts") or []) for row in series_list)
]
annotated = sum(
1
for row in series_list
if row.get("annotation", {}).get("skipped")
or row.get("annotation", {}).get("plain_ct")
or row.get("annotation", {}).get("body_parts")
or row.get("annotation", {}).get("notes")
or row.get("annotation", {}).get("ai_model")
@@ -992,6 +1009,7 @@ def study_summary_payload(data: dict[str, Any]) -> dict[str, Any]:
"series_count": total,
"annotated_series": annotated,
"unannotated_series": max(0, total - annotated),
"body_parts": body_parts,
"summary_updated_at": time.strftime("%Y-%m-%d %H:%M:%S"),
}
@@ -1002,19 +1020,21 @@ def save_study_summary(summary: dict[str, Any]) -> None:
pg_scalar(
f"""
INSERT INTO public.pacs_dicom_study_summaries (
ct_number, series_count, annotated_series, unannotated_series, refreshed_at
ct_number, series_count, annotated_series, unannotated_series, body_parts, refreshed_at
)
VALUES (
{sql_literal(summary.get('ct_number', ''))},
{int(summary.get('series_count') or 0)},
{int(summary.get('annotated_series') or 0)},
{int(summary.get('unannotated_series') or 0)},
{sql_literal(json.dumps(valid_parts(summary.get('body_parts') or []), ensure_ascii=False))}::jsonb,
now()
)
ON CONFLICT (ct_number) DO UPDATE SET
series_count = EXCLUDED.series_count,
annotated_series = EXCLUDED.annotated_series,
unannotated_series = EXCLUDED.unannotated_series,
body_parts = EXCLUDED.body_parts,
refreshed_at = now()
""",
timeout=8,
@@ -1539,7 +1559,7 @@ def parse_ai_json(content: str) -> dict[str, Any]:
try:
return json.loads(text)
except Exception:
return {"body_parts": [], "upper_abdomen_phase": "", "chest_window": "", "plain_ct": False, "skipped": False, "notes": content[:800]}
return {"body_parts": [], "upper_abdomen_phase": "", "chest_window": "", "skipped": False, "notes": content[:800]}
@app.post("/api/series/{ct_number}/{series_uid}/ai")
@@ -1559,10 +1579,9 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
"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。"
"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。"
"请同时判断 plain_ct 是否为平扫CT。"
"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)。"
"如果包含胸部，请判断窗位: lung(肺窗)、mediastinal(纵隔窗)、unknown(无法判别)。"
"只返回JSON: {\"body_parts\":[],\"upper_abdomen_phase\":\"\",\"chest_window\":\"\",\"plain_ct\":false,\"skipped\":false,\"notes\":\"\"}。"
"只返回JSON: {\"body_parts\":[],\"upper_abdomen_phase\":\"\",\"chest_window\":\"\",\"skipped\":false,\"notes\":\"\"}。"
f"PACS张数: {series_row.get('count', 0)}。"
f"序列描述: {series_row.get('description','')}；DICOM部位: {series_row.get('body_part_dicom','')}。"
),
@@ -1600,7 +1619,6 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
suggestion = parse_ai_json(message)
body_parts = [part for part in suggestion.get("body_parts", []) if part in BODY_PARTS]
skipped = bool(suggestion.get("skipped", False))
plain_ct = bool(suggestion.get("plain_ct", False))
phase = suggestion.get("upper_abdomen_phase", "")
if phase not in PHASES or "upper_abdomen" not in body_parts:
phase = ""
@@ -1620,8 +1638,8 @@ def ai_classify(ct_number: str, series_uid: str, _: AIRequest, user: str = Depen
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,
manual_plain_ct=None,
ai_plain_ct=None,
skipped=skipped,
ai_skipped=skipped,
notes=str(suggestion.get("notes", "")) or current.get("notes", ""),

62
PACS_DICOM处理/数据处理网页端/static/app.js
View File

@@ -27,6 +27,7 @@ const app = {
studySortField: "time",
studySortDir: "desc",
studyFilter: "all",
studyPartFilter: "all",
aiEnabled: true,
seriesSortField: "time",
seriesSortDir: "asc",
@@ -254,8 +255,9 @@ function studyStatusLabel(status) {
function visibleStudies() {
return sortStudies(app.studies).filter((study) => {
const status = studyStatus(study);
if (app.studyFilter === "complete") return status === "complete";
if (app.studyFilter === "incomplete") return status !== "complete";
if (app.studyFilter === "complete" && status !== "complete") return false;
if (app.studyFilter === "incomplete" && status === "complete") return false;
if (app.studyPartFilter !== "all" && !asList(study.body_parts).includes(app.studyPartFilter)) return false;
return true;
});
}
@@ -276,6 +278,9 @@ function updateSortButtons() {
document.querySelectorAll("[data-study-filter]").forEach((button) => {
button.classList.toggle("active", button.dataset.studyFilter === app.studyFilter);
});
document.querySelectorAll("[data-study-part-filter]").forEach((button) => {
button.classList.toggle("active", button.dataset.studyPartFilter === app.studyPartFilter);
});
}
function setSeries(list) {
@@ -287,17 +292,21 @@ function setSeries(list) {
function isSeriesAnnotated(series) {
const annotation = series.annotation || {};
return Boolean(annotation.skipped || annotation.plain_ct || asList(annotation.body_parts).length || annotation.notes || annotation.ai_model);
return Boolean(annotation.skipped || asList(annotation.body_parts).length || annotation.notes || annotation.ai_model);
}
function refreshStudyAnnotationSummary() {
if (!app.study || !app.series.length) return;
const annotated = app.series.filter(isSeriesAnnotated).length;
const total = app.series.length;
const bodyParts = BODY_PARTS.filter((part) =>
app.series.some((series) => asList(series.annotation?.body_parts).includes(part)),
);
const summary = {
annotated_series: annotated,
unannotated_series: Math.max(0, total - annotated),
series_count: total,
body_parts: bodyParts,
};
Object.assign(app.study, summary);
const study = app.studies.find((item) => item.ct_number === app.study.ct_number);
@@ -326,8 +335,15 @@ function renderStudies() {
button.classList.toggle("active", app.study?.ct_number === study.ct_number);
button.classList.toggle("complete", status === "complete");
const name = study.source_patient_name || study.patient_name_dicom || "无姓名";
const partTags = asList(study.body_parts)
.filter((part) => BODY_PARTS.includes(part))
.map((part) => `<em>${escapeHtml(partLabel(part))}</em>`)
.join("");
button.innerHTML = `
<div class="study-card-status-stack">
<i class="study-status-badge status-${status}" title="点击切换为${nextStatusLabel}">${studyStatusLabel(status)}</i>
<div class="study-part-tags">${partTags}</div>
</div>
<strong>${escapeHtml(study.ct_number)}</strong>
<span>${escapeHtml(name)} · ${escapeHtml(study.patient_id || "无ID")}</span>
<span>${escapeHtml(fmtDate(study.study_date))} ${escapeHtml(fmtTime(study.study_time))} · ${Number(study.dicom_file_count || 0)} 张</span>
@@ -416,9 +432,6 @@ function seriesTags(series) {
if (annotation.skipped) {
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" });
}
const phase = phaseLabel(annotation.upper_abdomen_phase);
const phaseSource = annotation.manual_upper_abdomen_phase ? "manual" : annotation.ai_upper_abdomen_phase ? "ai" : "";
const chestWindow = chestWindowLabel(annotation.chest_window);
@@ -754,13 +767,6 @@ function effectiveChestWindow(draft = app.draft) {
return draft.manual_chest_window || draft.ai_chest_window || "unknown";
}
function effectivePlainCt(draft = app.draft) {
if (!draft) return false;
if (draft.manual_plain_ct !== null && draft.manual_plain_ct !== undefined) return Boolean(draft.manual_plain_ct);
if (draft.ai_plain_ct !== null && draft.ai_plain_ct !== undefined) return Boolean(draft.ai_plain_ct);
return Boolean(draft.plain_ct);
}
function setLabelSource(input, source) {
const label = input.closest("label");
label.classList.toggle("manual-selected", source === "manual");
@@ -789,12 +795,6 @@ function applyAnnotationControls() {
setLabelSource(input, app.draft.skipped ? (app.draft.ai_skipped ? "ai" : "manual") : "");
return;
}
if (value === "plain_ct") {
input.checked = effectivePlainCt();
input.disabled = false;
setLabelSource(input, app.draft.manual_plain_ct !== null && app.draft.manual_plain_ct !== undefined ? "manual" : app.draft.ai_plain_ct !== null && app.draft.ai_plain_ct !== undefined ? "ai" : "");
return;
}
input.checked = parts.has(value);
input.disabled = false;
setLabelSource(input, app.draft.manual_body_parts.includes(value) ? "manual" : app.draft.ai_body_parts.includes(value) ? "ai" : "");
@@ -858,9 +858,9 @@ function annotationPayload(draft = app.draft, notes = $("annotationNotes").value
chest_window: effectiveChestWindow(draft),
manual_chest_window: draft.manual_chest_window,
ai_chest_window: draft.ai_chest_window,
plain_ct: effectivePlainCt(draft),
manual_plain_ct: draft.manual_plain_ct,
ai_plain_ct: draft.ai_plain_ct,
plain_ct: false,
manual_plain_ct: null,
ai_plain_ct: null,
skipped: Boolean(draft.skipped),
ai_skipped: Boolean(draft.ai_skipped),
notes,
@@ -944,14 +944,6 @@ function handlePartChange(event) {
if (value === "skip") {
app.draft.skipped = input.checked;
if (!input.checked) app.draft.ai_skipped = false;
} else if (value === "plain_ct") {
if (input.checked) {
app.draft.manual_plain_ct = true;
app.draft.ai_plain_ct = null;
} else {
app.draft.manual_plain_ct = false;
app.draft.ai_plain_ct = null;
}
} else if (BODY_PARTS.includes(value)) {
if (input.checked) {
app.draft.manual_body_parts = uniq([...app.draft.manual_body_parts, value]);
@@ -974,7 +966,9 @@ function handlePartChange(event) {
app.draft.body_parts = effectiveParts();
app.draft.upper_abdomen_phase = effectivePhase();
app.draft.chest_window = effectiveChestWindow();
app.draft.plain_ct = effectivePlainCt();
app.draft.plain_ct = false;
app.draft.manual_plain_ct = null;
app.draft.ai_plain_ct = null;
applyAnnotationControls();
markDirty();
}
@@ -1284,6 +1278,12 @@ function wire() {
renderStudies();
});
});
document.querySelectorAll("[data-study-part-filter]").forEach((button) => {
button.addEventListener("click", () => {
app.studyPartFilter = button.dataset.studyPartFilter;
renderStudies();
});
});
document.querySelectorAll("[data-series-sort]").forEach((button) => {
button.addEventListener("click", () => setSeriesSort(button.dataset.seriesSort));
});

9
PACS_DICOM处理/数据处理网页端/static/index.html
View File

@@ -55,6 +55,14 @@
<button data-study-filter="incomplete">待处理</button>
<button data-study-filter="complete">已完成</button>
</div>
<div class="study-part-filter">
<button class="active" data-study-part-filter="all">全部部位</button>
<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="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>
</aside>
@@ -125,7 +133,6 @@
</div>
<div class="part-grid">
<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>
<label><input type="checkbox" value="upper_abdomen" />上腹部</label>

59
PACS_DICOM处理/数据处理网页端/static/styles.css
View File

@@ -262,7 +262,7 @@ button:disabled {
.series-pane {
padding: 14px;
display: grid;
grid-template-rows: auto auto auto 1fr;
grid-template-rows: auto auto auto auto 1fr;
gap: 12px;
}
@@ -336,8 +336,17 @@ button:disabled {
gap: 6px;
}
.study-filter button {
.study-part-filter {
display: flex;
gap: 6px;
overflow-x: auto;
padding-bottom: 2px;
}
.study-filter button,
.study-part-filter button {
height: 30px;
flex: 0 0 auto;
border: 1px solid var(--stroke);
border-radius: 7px;
background: #0b0f16;
@@ -345,7 +354,13 @@ button:disabled {
font-size: 12px;
}
.study-filter button.active {
.study-part-filter button {
min-width: 66px;
padding: 0 10px;
}
.study-filter button.active,
.study-part-filter button.active {
border-color: rgba(25, 212, 194, 0.62);
color: #baf8ee;
background: rgba(25, 212, 194, 0.08);
@@ -361,7 +376,7 @@ button:disabled {
.study-card {
position: relative;
width: 100%;
padding: 12px 42px 12px 12px;
padding: 12px 112px 12px 12px;
margin-bottom: 10px;
border: 1px solid transparent;
border-radius: 8px;
@@ -370,10 +385,17 @@ button:disabled {
text-align: left;
}
.study-status-badge {
.study-card-status-stack {
position: absolute;
top: 10px;
right: 10px;
max-width: 96px;
display: grid;
justify-items: end;
gap: 6px;
}
.study-status-badge {
min-width: 48px;
height: 22px;
display: inline-grid;
@@ -388,6 +410,28 @@ button:disabled {
cursor: pointer;
}
.study-part-tags {
display: flex;
justify-content: flex-end;
flex-wrap: wrap;
gap: 4px;
}
.study-part-tags em {
max-width: 92px;
padding: 2px 6px;
overflow: hidden;
border: 1px solid rgba(25, 212, 194, 0.34);
border-radius: 999px;
color: #baf8ee;
background: rgba(25, 212, 194, 0.07);
font-size: 10px;
font-style: normal;
line-height: 1.25;
text-overflow: ellipsis;
white-space: nowrap;
}
.study-status-badge:hover {
border-color: rgba(239, 245, 255, 0.58);
color: var(--text);
@@ -874,11 +918,6 @@ button:disabled {
background: rgba(240, 181, 78, 0.12);
}
.part-grid .plain-option:has(input:checked) {
border-color: rgba(52, 116, 246, 0.72);
background: rgba(52, 116, 246, 0.12);
}
.part-grid input:disabled + * {
color: var(--muted);
}