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基于cornerstone3D的dicom影像浏览器第三十一章从PACS服务加载图像

news 来源：原创 2025/6/10 6:21:00

文章目录

前言
一、两个服务接口
- 1. 查询检查接口
- 2. 查询图像接口
二、查询界面组件
三、修改归档
总结

前言

"基于cornerstone3D的dicom影像浏览器"系列文章中都是加载本地文件夹的的dicom图像。
作为一个合格的dicom影像浏览器需要对接PACS服务端，从PACS服务查询检查，下载图像。
本章实现一个查询界面，对接PACS服务。
效果如下：
在这里插入图片描述

一、两个服务接口

PACS服务需要提供两个接口

查询检查接口
查询图像接口

1. 查询检查接口

接口名称可自定义，本文中的接口名称：“http://localhost:9000/queryStudy”
查询参数可自定义，本文中的接口参数有：

startDate    // 检查开始日期
endDate      // 检查结束日期
studyId      // 检查号
modality     // 设备类型
name         // 姓名

示例：
http://localhost:9000/queryStudy?startDate=2000-06-09&endDate=2025-06-09&studyId=2&modality=CT

返回数据示例：

[{"No": "1","StudyId": "2","PatName": "程**","Sex": "女","Age": "43Y","ImageNum": "1","MzId": "","Modality": "CT","RadiId": "CT0000000001234567","StudyDate": "2020-08-25 10:03:33","ExamItem": "胸部X线计算机体层(CT)平扫","ExamPart": ""},{"No": "2","StudyId": "4","PatName": "赢**","Sex": "女","Age": "63Y","ImageNum": "1","MzId": "","Modality": "CT","RadiId": "CT0000000002","StudyDate": "2020-08-25 10:17:01","ExamItem": "颅脑X线计算机体层(CT)平扫","ExamPart": ""},{"No": "3","StudyId": "13","PatName": "余*","Sex": "女","Age": "37Y","ImageNum": "1","MzId": "","Modality": "CT","RadiId": "CT0000000003","StudyDate": "2022-11-14 16:41:29","ExamItem": "DR胸椎正位 *(1)","ExamPart": ""}...
]

2. 查询图像接口

接口名称可自定义，本文中的接口名称：“http://localhost:9000/queryImage”
参数：

studyId   // 检查号

示例：http://localhost:9000/queryImage?studyId=2

返回数据示例：

["http://localhost:9000/pacs/CT/2020-08-25/2/c8353e44b039eca9b334e78b741f3b35/1.dcm","http://localhost:9000/pacs/CT/2020-08-25/2/c8353e44b039eca9b334e78b741f3b35/2.dcm","http://localhost:9000/pacs/CT/2020-08-25/2/c8353e44b039eca9b334e78b741f3b35/3.dcm","http://localhost:9000/pacs/CT/2020-08-25/2/c8353e44b039eca9b334e78b741f3b35/4.dcm",...
]

二、查询界面组件

onSearch 查询检查，显示到列表
onRowClick 查询一次检查所有图像，并归档

<template><div class="pacs"><el-dialog:title="查询检查"draggablev-model="visible":modal="false":close-on-click-modal="false"width="840px"@keydown.native.stop><div class="querycond"><el-form :model="form" label-width="100px" @submit.prevent><el-row :gutter="0"><el-col :span="12"><el-form-item :label="检查号:"><el-input v-model="form.idNumber"></el-input></el-form-item></el-col><el-col :span="7"><el-form-item :label="姓名:"><el-input v-model="form.name"></el-input></el-form-item></el-col><el-col :span="5"><el-form-item class="right-align" label-width="30px"><el-button type="primary" @click="onSearch"><el-icon><Search /></el-icon><span style="vertical-align: middle">查询</span></el-button></el-form-item></el-col></el-row><el-row :gutter="0"><el-col :span="12"><el-form-item :label="检查日期:"><el-date-pickerv-model="form.queryDate"type="daterange"align="right"unlink-panels:range-separator="至":shortcuts="shortcuts"></el-date-picker></el-form-item></el-col><el-col :span="7"><el-form-item :label="检查类型:"><el-select v-model="form.modality" placeholder=""><el-optionv-for="mod in modalities":key="mod":label="mod":value="mod"></el-option></el-select></el-form-item></el-col><el-col :span="5"><el-form-item class="right-align" label-width="30px"><el-button @click="onClear"><el-icon><Delete /></el-icon><span style="vertical-align: middle">清空</span></el-button></el-form-item></el-col></el-row></el-form></div><el-table :data="studyData" border height="420px" @row-dblclick="onRowClick"><el-table-columnproperty="StudyId":label="检查号"width="100":show-overflow-tooltip="true"></el-table-column><el-table-columnproperty="PatName":label="姓名"width="100":show-overflow-tooltip="true"></el-table-column><el-table-columnproperty="Sex":label="性别"width="80"></el-table-column><el-table-columnproperty="Age":label="年龄"width="80"></el-table-column><el-table-columnproperty="StudyDate":label="检查日期"width="168":show-overflow-tooltip="true"></el-table-column><el-table-columnproperty="Modality":label="设备"width="90"></el-table-column><el-table-columnproperty="ExamItem":label="检查项目"width="220":show-overflow-tooltip="true"></el-table-column></el-table></el-dialog></div>
</template><script lang="js" setup name="SearchPACS">
import { ref, reactive, onMounted } from "vue";
import { desensitizeSubstring } from "@/utils";
import { useArchiveStore } from "../stores/archive";
import { ElMessage } from "element-plus";const archiveStore = useArchiveStore();
const studyData = ref([]);
const visible = ref(false);
const modalities = ["ALL", "CR", "DX", "MG", "CT", "MR", "RF", "OT", "XA"];
const form = reactive({idNumber: "",name: "",modality: "ALL",queryDate: [new Date(), new Date()],
});const shortcuts: [{text: "今天",value: () => {const end = new Date();const start = new Date();return [start, end];},},{text: "昨天",value: () => {const end = new Date();const start = new Date();start.setTime(start.getTime() - 3600 * 1000 * 24);return [start, end];},},{text: "最近三天",value: () => {const end = new Date();const start = new Date();start.setTime(start.getTime() - 3600 * 1000 * 24 * 3);return [start, end];},},{text: "最近一周",value: () => {const end = new Date();const start = new Date();start.setTime(start.getTime() - 3600 * 1000 * 24 * 7);return [start, end];},},{text: "最近一个月",value: () => {const end = new Date();const start = new Date();start.setTime(start.getTime() - 3600 * 1000 * 24 * 30);return [start, end];},},{text: "最近一年",value: () => {const end = new Date();const start = new Date();start.setTime(start.getTime() - 3600 * 1000 * 24 * 365);return [start, end];},},
];const show = () => {visible.value = true;
};const onSearch = () => {// 查询检查服务接口，实际可存储到配置中const studyapi = "http://localhost:9000/queryStudy";let url = studyapi;const sdate = form.queryDate[0];const edate = form.queryDate[1];url += "?startDate=" + sdate + "&endDate=" + edate;if (form.modality !== "ALL") {url += "&modality=" + form.modality;}if (form.idNumber) {url += "&id=" + form.idNumber;}if (form.name) {url += "&name=" + form.name;}//console.log(url);fetch(url).then((response) => response.json()).then((data) => {// console.log(data);studyData.value = data.map((item) => {return {...item, PatName: desensitizeSubstring(item.PatName, 1, -1) }});// console.log(studyData.value);}).catch((error) => {console.log(error);ElMessage.error("查询失败");});};const onClear = () => {form.idNumber = "";form.name = "";form.modality = "ALL";form.queryDate = [new Date(), new Date()];studyData.value = [];
};const onRowClick = (row) => {// 查询图像服务接口，实际可存储到配置中const imageapi = "http://localhost:9000/queryImage";let url;let params = "studyId=" + row.StudyId;url = imageapi + "?" + params;// console.log(url);ElMessage.success("正在获取图像, 请稍候...");visible.value = false;fetch(url).then((response) => response.json()).then((data) => {// console.log(data);const imageIds = data.map((item) => "dicomweb:" + item);//console.log("imageIds: ", imageIds);imageIds.forEach((imageId) => {archiveStore.archiveFile(imageId);});}).catch((error) => {console.log(error);ElMessage.error("查询失败");});
};defineExpose({show,
});</script><style lang="scss" scoped>
:deep(.el-dialog) {padding: 1px;border: 1px solid gray;border-radius: 4px;
}
:deep(.el-dialog__header) {background-color: #eee;height: 40px;padding: 8px 8px;border: none;
}:deep(.el-dialog__title) {color: #444;
}:deep(.el-table__body-wrapper) {background-color: white;
}:deep(.el-table__header .is-leaf) {background-color: white;color: #444;
}:deep(.el-table__cell) {background-color: white;color: #444;padding: 4px 0px;
}:deep(.el-table--enable-row-hover .el-table__body tr:hover > td) {background-color: #d3e3fd;
}:deep(.el-table--border .el-table__cell:first-child .cell) {padding-left: 4px;
}.querycond {width: 100%;height: 100px;padding: 8px 0;background-color: white;
}:deep(.el-form-item) {margin-bottom: 4px;
}:deep(.el-form-item__label) {color: #444;
}:deep(.el-form-item__content .el-input .el-input__inner) {height: 30px;line-height: 30px;padding: 0px 8px;
}:deep(.el-button) {height: 32px;width: 100px;line-height: 32px;padding: 0;
}:deep(.el-range-editor.el-input__inner) {height: 32px;padding: 0 10px;
}
:deep(.el-date-editor--daterange) {width: 320px;
}:deep(.el-date-editor .el-range-separator) {padding: 0;width: 8%;
}
</style>

三、修改归档

之前只对本地文件归档，现增加对网络文件归档的兼容
归档逻辑请查看第四章加载本地文件夹中的dicom文件并归档

修改archiveStore.js文件中的archiveFile函数。
修改前：

async function archiveFile(file) {const imageId = cornerstoneDICOMImageLoader.wadouri.fileManager.add(file);const dcmImage = new DCMImage({ imageId });await dcmImage.parse();...
}

修改后:

async function archiveFile(file) {let imageId = "";if (typeof file === "string") {imageId = file;} else {imageId = cornerstoneDICOMImageLoader.wadouri.fileManager.add(file);}const dcmImage = new DCMImage({ imageId });await dcmImage.parse();...
}