feat(SR): text structured report (TEXT, CODE, NUM, PNAME, DATE, TIME and DATETIME) (#4287)

extensions/cornerstone-dicom-sr/src/components/OHIFCornerstoneSRContainer.tsx

@@ -0,0 +1,78 @@
+import PropTypes from 'prop-types';
+import React from 'react';
+import { OHIFCornerstoneSRContentItem } from './OHIFCornerstoneSRContentItem';
+
+export function OHIFCornerstoneSRContainer(props) {
+  const { container, nodeIndexesTree = [0], containerNumberedTree = [1] } = props;
+  const { ContinuityOfContent, ConceptNameCodeSequence } = container;
+  const { CodeMeaning } = ConceptNameCodeSequence ?? {};
+  let childContainerIndex = 1;
+  const contentItems = container.ContentSequence?.map((contentItem, i) => {
+    const { ValueType } = contentItem;
+    const childNodeLevel = [...nodeIndexesTree, i];
+    const key = childNodeLevel.join('.');
+
+    let Component;
+    let componentProps;
+
+    if (ValueType === 'CONTAINER') {
+      const childContainerNumberedTree = [...containerNumberedTree, childContainerIndex++];
+
+      Component = OHIFCornerstoneSRContainer;
+      componentProps = {
+        container: contentItem,
+        nodeIndexesTree: childNodeLevel,
+        containerNumberedTree: childContainerNumberedTree,
+      };
+    } else {
+      Component = OHIFCornerstoneSRContentItem;
+      componentProps = {
+        contentItem,
+        nodeIndexesTree: childNodeLevel,
+        continuityOfContent: ContinuityOfContent,
+      };
+    }
+
+    return (
+      <Component
+        key={key}
+        {...componentProps}
+      />
+    );
+  });
+
+  return (
+    <div>
+      <div className="font-bold">
+        {containerNumberedTree.join('.')}.&nbsp;
+        {CodeMeaning}
+      </div>
+      <div className="ml-4 mb-2">{contentItems}</div>
+    </div>
+  );
+}
+
+OHIFCornerstoneSRContainer.propTypes = {
+  /**
+   * A tree node that may contain another container or one or more content items
+   * (text, code, uidref, pname, etc.)
+   */
+  container: PropTypes.object,
+  /**
+   * A 0-based index list
+   */
+  nodeIndexesTree: PropTypes.arrayOf(PropTypes.number),
+  /**
+   * A 1-based index list that represents a container in a multi-level numbered
+   * list (tree).
+   *
+   * Example:
+   *  1. History
+   *    1.1. Chief Complaint
+   *    1.2. Present Illness
+   *    1.3. Past History
+   *    1.4. Family History
+   *  2. Findings
+   * */
+  containerNumberedTree: PropTypes.arrayOf(PropTypes.number),
+};

extensions/cornerstone-dicom-sr/src/components/OHIFCornerstoneSRContentItem.tsx

@@ -0,0 +1,63 @@
+import PropTypes from 'prop-types';
+import React from 'react';
+import CodeNameCodeSequenceValues from '../constants/CodeNameCodeSequenceValues';
+import formatContentItemValue from '../utils/formatContentItem';
+
+const EMPTY_TAG_VALUE = '[empty]';
+
+function OHIFCornerstoneSRContentItem(props) {
+  const { contentItem, nodeIndexesTree, continuityOfContent } = props;
+  const { ConceptNameCodeSequence } = contentItem;
+  const { CodeValue, CodeMeaning } = ConceptNameCodeSequence;
+  const isChildFirstNode = nodeIndexesTree[nodeIndexesTree.length - 1] === 0;
+  const formattedValue = formatContentItemValue(contentItem) ?? EMPTY_TAG_VALUE;
+  const startWithAlphaNumCharRegEx = /^[a-zA-Z0-9]/;
+  const isContinuous = continuityOfContent === 'CONTINUOUS';
+  const isFinding = CodeValue === CodeNameCodeSequenceValues.Finding;
+  const addExtraSpace =
+    isContinuous && !isChildFirstNode && startWithAlphaNumCharRegEx.test(formattedValue?.[0]);
+
+  // Collapse sequences of white space preserving newline characters
+  let className = 'whitespace-pre-line';
+
+  if (CodeValue === CodeNameCodeSequenceValues.Finding) {
+    // Preserve spaces because it is common to see tabular text in a
+    // "Findings" ConceptNameCodeSequence
+    className = 'whitespace-pre-wrap';
+  }
+
+  if (isContinuous) {
+    return (
+      <>
+        <span
+          className={className}
+          title={CodeMeaning}
+        >
+          {addExtraSpace ? ' ' : ''}
+          {formattedValue}
+        </span>
+      </>
+    );
+  }
+
+  return (
+    <>
+      <div className="mb-2">
+        <span className="font-bold">{CodeMeaning}: </span>
+        {isFinding ? (
+          <pre>{formattedValue}</pre>
+        ) : (
+          <span className={className}>{formattedValue}</span>
+        )}
+      </div>
+    </>
+  );
+}
+
+OHIFCornerstoneSRContentItem.propTypes = {
+  contentItem: PropTypes.object,
+  nodeIndexesTree: PropTypes.arrayOf(PropTypes.number),
+  continuityOfContent: PropTypes.string,
+};
+
+export { OHIFCornerstoneSRContentItem };

extensions/cornerstone-dicom-sr/src/components/OHIFCornerstoneSRMeasurementViewport.tsx

@@ -14,7 +14,7 @@ const MEASUREMENT_TRACKING_EXTENSION_ID = '@ohif/extension-measurement-tracking'
 
 const SR_TOOLGROUP_BASE_NAME = 'SRToolGroup';
 
-function OHIFCornerstoneSRViewport(props: withAppTypes) {
+function OHIFCornerstoneSRMeasurementViewport(props: withAppTypes) {
   const { children, dataSource, displaySets, viewportOptions, servicesManager, extensionManager } =
     props;
 
@@ -278,14 +278,14 @@ function OHIFCornerstoneSRViewport(props: withAppTypes) {
    */
   useEffect(() => {
     const updateSR = async () => {
-    if (!srDisplaySet.isLoaded) {
-      await srDisplaySet.load();
-    }
-    if (!element || !srDisplaySet.isLoaded) {
-      return;
-    }
-    setTrackingIdentifiers(measurementSelected);
-    }
+      if (!srDisplaySet.isLoaded) {
+        await srDisplaySet.load();
+      }
+      if (!element || !srDisplaySet.isLoaded) {
+        return;
+      }
+      setTrackingIdentifiers(measurementSelected);
+    };
     updateSR();
   }, [measurementSelected, element, setTrackingIdentifiers, srDisplaySet]);
 
@@ -367,7 +367,7 @@ function OHIFCornerstoneSRViewport(props: withAppTypes) {
   );
 }
 
-OHIFCornerstoneSRViewport.propTypes = {
+OHIFCornerstoneSRMeasurementViewport.propTypes = {
   displaySets: PropTypes.arrayOf(PropTypes.object),
   viewportId: PropTypes.string.isRequired,
   dataSource: PropTypes.object,
@@ -508,4 +508,4 @@ function _getStatusComponent({
   );
 }
 
-export default OHIFCornerstoneSRViewport;
+export default OHIFCornerstoneSRMeasurementViewport;

extensions/cornerstone-dicom-sr/src/components/OHIFCornerstoneSRTextViewport.tsx

@@ -0,0 +1,32 @@
+import PropTypes from 'prop-types';
+import React from 'react';
+import { ExtensionManager } from '@ohif/core';
+import { OHIFCornerstoneSRContainer } from './OHIFCornerstoneSRContainer';
+
+function OHIFCornerstoneSRTextViewport(props: withAppTypes) {
+  const { displaySets } = props;
+  const displaySet = displaySets[0];
+  const instance = displaySet.instances[0];
+
+  return (
+    <div className="relative flex h-full w-full flex-col overflow-auto p-4 text-white">
+      <div>
+        {/* The root level is always a container */}
+        <OHIFCornerstoneSRContainer container={instance} />
+      </div>
+    </div>
+  );
+}
+
+OHIFCornerstoneSRTextViewport.propTypes = {
+  displaySets: PropTypes.arrayOf(PropTypes.object),
+  viewportId: PropTypes.string.isRequired,
+  dataSource: PropTypes.object,
+  children: PropTypes.node,
+  viewportLabel: PropTypes.string,
+  viewportOptions: PropTypes.object,
+  servicesManager: PropTypes.object.isRequired,
+  extensionManager: PropTypes.instanceOf(ExtensionManager).isRequired,
+};
+
+export default OHIFCornerstoneSRTextViewport;

extensions/cornerstone-dicom-sr/src/components/OHIFCornerstoneSRViewport.tsx

@@ -0,0 +1,30 @@
+import PropTypes from 'prop-types';
+import React from 'react';
+import { ExtensionManager } from '@ohif/core';
+
+import OHIFCornerstoneSRMeasurementViewport from './OHIFCornerstoneSRMeasurementViewport';
+import OHIFCornerstoneSRTextViewport from './OHIFCornerstoneSRTextViewport';
+
+function OHIFCornerstoneSRViewport(props: withAppTypes) {
+  const { displaySets } = props;
+  const { isImagingMeasurementReport } = displaySets[0];
+
+  if (isImagingMeasurementReport) {
+    return <OHIFCornerstoneSRMeasurementViewport {...props}></OHIFCornerstoneSRMeasurementViewport>;
+  }
+
+  return <OHIFCornerstoneSRTextViewport {...props}></OHIFCornerstoneSRTextViewport>;
+}
+
+OHIFCornerstoneSRViewport.propTypes = {
+  displaySets: PropTypes.arrayOf(PropTypes.object),
+  viewportId: PropTypes.string.isRequired,
+  dataSource: PropTypes.object,
+  children: PropTypes.node,
+  viewportLabel: PropTypes.string,
+  viewportOptions: PropTypes.object,
+  servicesManager: PropTypes.object.isRequired,
+  extensionManager: PropTypes.instanceOf(ExtensionManager).isRequired,
+};
+
+export default OHIFCornerstoneSRViewport;

extensions/cornerstone-dicom-sr/src/constants/CodeNameCodeSequenceValues.ts

@@ -0,0 +1,18 @@
+import { adaptersSR } from '@cornerstonejs/adapters';
+
+const { CodeScheme: Cornerstone3DCodeScheme } = adaptersSR.Cornerstone3D;
+
+const CodeNameCodeSequenceValues = {
+  ImagingMeasurementReport: '126000',
+  ImageLibrary: '111028',
+  ImagingMeasurements: '126010',
+  MeasurementGroup: '125007',
+  ImageLibraryGroup: '126200',
+  TrackingUniqueIdentifier: '112040',
+  TrackingIdentifier: '112039',
+  Finding: '121071',
+  FindingSite: 'G-C0E3', // SRT
+  CornerstoneFreeText: Cornerstone3DCodeScheme.codeValues.CORNERSTONEFREETEXT,
+};
+
+export { CodeNameCodeSequenceValues as default };

extensions/cornerstone-dicom-sr/src/getSopClassHandlerModule.ts

@@ -3,6 +3,7 @@ import { utils, classes, DisplaySetService, Types } from '@ohif/core';
 import addDICOMSRDisplayAnnotation from './utils/addDICOMSRDisplayAnnotation';
 import isRehydratable from './utils/isRehydratable';
 import { adaptersSR } from '@cornerstonejs/adapters';
+import CodeNameCodeSequenceValues from './constants/CodeNameCodeSequenceValues';
 
 type InstanceMetadata = Types.InstanceMetadata;
 
@@ -16,10 +17,11 @@ const { ImageSet, MetadataProvider: metadataProvider } = classes;
 // Get stacks from referenced displayInstanceUID and load into wrapped CornerStone viewport.
 
 const sopClassUids = [
-  '1.2.840.10008.5.1.4.1.1.88.11', //BASIC_TEXT_SR:
-  '1.2.840.10008.5.1.4.1.1.88.22', //ENHANCED_SR:
-  '1.2.840.10008.5.1.4.1.1.88.33', //COMPREHENSIVE_SR:
-  '1.2.840.10008.5.1.4.1.1.88.34', //COMPREHENSIVE_3D_SR:
+  '1.2.840.10008.5.1.4.1.1.88.11', // BASIC TEXT SR
+  '1.2.840.10008.5.1.4.1.1.88.22', // ENHANCED SR
+  '1.2.840.10008.5.1.4.1.1.88.33', // COMPREHENSIVE SR
+  '1.2.840.10008.5.1.4.1.1.88.34', // Comprehensive 3D SR
+  // '1.2.840.10008.5.1.4.1.1.88.50', // Mammography CAD SR
 ];
 
 const CORNERSTONE_3D_TOOLS_SOURCE_NAME = 'Cornerstone3DTools';
@@ -34,19 +36,6 @@ const validateSameStudyUID = (uid: string, instances): void => {
   });
 };
 
-const CodeNameCodeSequenceValues = {
-  ImagingMeasurementReport: '126000',
-  ImageLibrary: '111028',
-  ImagingMeasurements: '126010',
-  MeasurementGroup: '125007',
-  ImageLibraryGroup: '126200',
-  TrackingUniqueIdentifier: '112040',
-  TrackingIdentifier: '112039',
-  Finding: '121071',
-  FindingSite: 'G-C0E3', // SRT
-  CornerstoneFreeText: Cornerstone3DCodeScheme.codeValues.CORNERSTONEFREETEXT, //
-};
-
 const CodingSchemeDesignators = {
   SRT: 'SRT',
   CornerstoneCodeSchemes: [Cornerstone3DCodeScheme.CodingSchemeDesignator, 'CST4'],
@@ -113,22 +102,10 @@ function _getDisplaySetsFromSeries(
   } = instance;
   validateSameStudyUID(instance.StudyInstanceUID, instances);
 
-  if (
-    !ConceptNameCodeSequence ||
-    ConceptNameCodeSequence.CodeValue !== CodeNameCodeSequenceValues.ImagingMeasurementReport
-  ) {
-    servicesManager.services.uiNotificationService.show({
-      title: 'DICOM SR',
-      message:
-        'OHIF only supports TID1500 Imaging Measurement Report Structured Reports. The SR you’re trying to view is not supported.',
-      type: 'warning',
-      duration: 6000,
-    });
-    return [];
-  }
+  const isImagingMeasurementReport =
+    ConceptNameCodeSequence?.CodeValue === CodeNameCodeSequenceValues.ImagingMeasurementReport;
 
   const displaySet = {
-    //plugin: id,
     Modality: 'SR',
     displaySetInstanceUID: utils.guid(),
     SeriesDescription,
@@ -144,6 +121,7 @@ function _getDisplaySetsFromSeries(
     measurements: null,
     isDerivedDisplaySet: true,
     isLoaded: false,
+    isImagingMeasurementReport,
     sopClassUids,
     instance,
     addInstances,
@@ -158,7 +136,6 @@ async function _load(displaySet, servicesManager: AppTypes.ServicesManager, exte
   const { displaySetService, measurementService } = servicesManager.services;
   const dataSources = extensionManager.getDataSources();
   const dataSource = dataSources[0];
-
   const { ContentSequence } = displaySet.instance;
 
   async function retrieveBulkData(obj, parentObj = null, key = null) {
@@ -185,8 +162,13 @@ async function _load(displaySet, servicesManager: AppTypes.ServicesManager, exte
     await retrieveBulkData(ContentSequence);
   }
 
-  displaySet.referencedImages = _getReferencedImagesList(ContentSequence);
-  displaySet.measurements = _getMeasurements(ContentSequence);
+  if (displaySet.isImagingMeasurementReport) {
+    displaySet.referencedImages = _getReferencedImagesList(ContentSequence);
+    displaySet.measurements = _getMeasurements(ContentSequence);
+  } else {
+    displaySet.referencedImages = [];
+    displaySet.measurements = [];
+  }
 
   const mappings = measurementService.getSourceMappings(
     CORNERSTONE_3D_TOOLS_SOURCE_NAME,
@@ -371,6 +353,10 @@ function _getMeasurements(ImagingMeasurementReportContentSequence) {
       item.ConceptNameCodeSequence.CodeValue === CodeNameCodeSequenceValues.ImagingMeasurements
   );
 
+  if (!ImagingMeasurements) {
+    return [];
+  }
+
   const MeasurementGroups = _getSequenceAsArray(ImagingMeasurements.ContentSequence).filter(
     item => item.ConceptNameCodeSequence.CodeValue === CodeNameCodeSequenceValues.MeasurementGroup
   );
@@ -625,6 +611,10 @@ function _getReferencedImagesList(ImagingMeasurementReportContentSequence) {
     item => item.ConceptNameCodeSequence.CodeValue === CodeNameCodeSequenceValues.ImageLibrary
   );
 
+  if (!ImageLibrary) {
+    return [];
+  }
+
   const ImageLibraryGroup = _getSequenceAsArray(ImageLibrary.ContentSequence).find(
     item => item.ConceptNameCodeSequence.CodeValue === CodeNameCodeSequenceValues.ImageLibraryGroup
   );

extensions/cornerstone-dicom-sr/src/index.tsx

@@ -10,7 +10,7 @@ import hydrateStructuredReport from './utils/hydrateStructuredReport';
 import createReferencedImageDisplaySet from './utils/createReferencedImageDisplaySet';
 
 const Component = React.lazy(() => {
-  return import(/* webpackPrefetch: true */ './viewports/OHIFCornerstoneSRViewport');
+  return import(/* webpackPrefetch: true */ './components/OHIFCornerstoneSRViewport');
 });
 
 const OHIFCornerstoneSRViewport = props => {

extensions/cornerstone-dicom-sr/src/utils/formatContentItem.ts

@@ -0,0 +1,67 @@
+import { utils } from '@ohif/core';
+
+/**
+ * Formatters used to format each of the content items (SR "nodes") which can be
+ * text, code, UID ref, number, person name, date, time and date time. Each
+ * formatter must be a function with the following signature:
+ *
+ *    [VALUE_TYPE]: (contentItem) => string
+ *
+ */
+const contentItemFormatters = {
+  TEXT: contentItem => contentItem.TextValue,
+  CODE: contentItem => contentItem.ConceptCodeSequence?.[0]?.CodeMeaning,
+  UIDREF: contentItem => contentItem.UID,
+  NUM: contentItem => {
+    const measuredValue = contentItem.MeasuredValueSequence?.[0];
+
+    if (!measuredValue) {
+      return;
+    }
+
+    const { NumericValue, MeasurementUnitsCodeSequence } = measuredValue;
+    const { CodeValue } = MeasurementUnitsCodeSequence;
+
+    return `${NumericValue} ${CodeValue}`;
+  },
+  PNAME: contentItem => {
+    const personName = contentItem.PersonName?.[0]?.Alphabetic;
+    return personName ? utils.formatPN(personName) : undefined;
+  },
+  DATE: contentItem => {
+    const { Date } = contentItem;
+    return Date ? utils.formatDate(Date) : undefined;
+  },
+  TIME: contentItem => {
+    const { Time } = contentItem;
+    return Time ? utils.formatTime(Time) : undefined;
+  },
+  DATETIME: contentItem => {
+    const { DateTime } = contentItem;
+
+    if (typeof DateTime !== 'string') {
+      return;
+    }
+
+    // 14 characters because it should be something like 20180614113714
+    if (DateTime.length < 14) {
+      return DateTime;
+    }
+
+    const dicomDate = DateTime.substring(0, 8);
+    const dicomTime = DateTime.substring(8, 14);
+    const formattedDate = utils.formatDate(dicomDate);
+    const formattedTime = utils.formatTime(dicomTime);
+
+    return `${formattedDate} ${formattedTime}`;
+  },
+};
+
+function formatContentItemValue(contentItem) {
+  const { ValueType } = contentItem;
+  const fnFormat = contentItemFormatters[ValueType];
+
+  return fnFormat ? fnFormat(contentItem) : `[${ValueType} is not supported]`;
+}
+
+export { formatContentItemValue as default, formatContentItemValue };

modes/longitudinal/src/index.ts

@@ -7,7 +7,7 @@ import moreTools from './moreTools';
 
 // Allow this mode by excluding non-imaging modalities such as SR, SEG
 // Also, SM is not a simple imaging modalities, so exclude it.
-const NON_IMAGE_MODALITIES = ['SM', 'ECG', 'SR', 'SEG', 'RTSTRUCT'];
+const NON_IMAGE_MODALITIES = ['SM', 'ECG', 'SEG', 'RTSTRUCT'];
 
 const ohif = {
   layout: '@ohif/extension-default.layoutTemplateModule.viewerLayout',
@@ -169,7 +169,7 @@ function modeFactory({ modeConfiguration }) {
         valid: !!modalities_list.filter(modality => NON_IMAGE_MODALITIES.indexOf(modality) === -1)
           .length,
         description:
-          'The mode does not support studies that ONLY include the following modalities: SM, ECG, SR, SEG, RTSTRUCT',
+          'The mode does not support studies that ONLY include the following modalities: SM, ECG, SEG, RTSTRUCT',
       };
     },
     routes: [

platform/core/src/utils/formatTime.ts

@@ -0,0 +1,12 @@
+import moment from 'moment';
+
+/**
+ * Format time in HHmmss.SSS format (24h time) into HH:mm:ss
+ *
+ * @param time - Time to be formatted
+ * @param format - Desired time format
+ * @returns Formatted time
+ */
+export default function formatTime(time: string, format = 'HH:mm:ss') {
+  return moment(time, 'HH:mm:ss').format(format);
+}

platform/core/src/utils/index.test.js

@@ -24,6 +24,7 @@ describe('Top level exports', () => {
       'b64toBlob',
       'createStudyBrowserTabs',
       'formatDate',
+      'formatTime',
       'formatPN',
       'generateAcceptHeader',
       'isEqualWithin',

platform/core/src/utils/index.ts

@@ -13,6 +13,7 @@ import hotkeys from './hotkeys';
 import Queue from './Queue';
 import isDicomUid from './isDicomUid';
 import formatDate from './formatDate';
+import formatTime from './formatTime';
 import formatPN from './formatPN';
 import generateAcceptHeader from './generateAcceptHeader';
 import resolveObjectPath from './resolveObjectPath';
@@ -56,6 +57,7 @@ const utils = {
   seriesSortCriteria,
   writeScript,
   formatDate,
+  formatTime,
   formatPN,
   b64toBlob,
   urlUtil,