cardiac.dart 14 KB

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  1. import 'dart:math' as math;
  2. import 'package:fis_measure/configs/cardiac.dart';
  3. import 'package:fis_measure/configs/patient.dart';
  4. import 'package:fis_measure/interfaces/enums/species.dart';
  5. import 'package:fis_measure/process/calcuators/formulas/general.dart';
  6. import 'package:fis_measure/utils/number.dart';
  7. class CardiacFormulas {
  8. static ICardiacFormulaStrategy _singleton = AnimalsCardiacFormulas();
  9. static void reinitialize() {
  10. if (GlobalPatientConfig.speciesType == SpeciesType.mouse) {
  11. GlobalCardiacConfigs.density = 1.05;
  12. _singleton = MouseCardiacFormulas();
  13. } else {
  14. GlobalCardiacConfigs.density = 1.04;
  15. _singleton = AnimalsCardiacFormulas();
  16. }
  17. }
  18. static double teiIndex(double co, double et) => _singleton.teiIndex(co, et);
  19. static double ef(double edv, double esv) => _singleton.ef(edv, esv);
  20. static double edvTeichholz(double lvidd) => _singleton.edvTeichholz(lvidd);
  21. static double edvCube(double lvidd) => _singleton.edvCube(lvidd);
  22. static double esvTeichholz(double lvids) => _singleton.esvTeichholz(lvids);
  23. static double esvCube(double lvids) => _singleton.esvCube(lvids);
  24. static double sv(double edv, double esv) => _singleton.sv(edv, esv);
  25. static double co(double sv, {required int hr}) => _singleton.co(sv, hr: hr);
  26. static double ci(double sv, {required int hr, required double bsa}) =>
  27. _singleton.ci(sv, hr: hr, bsa: bsa);
  28. static double lvdMass(double ivsd, double lvidd, double lvpwd) =>
  29. _singleton.lvdMass(ivsd, lvidd, lvpwd);
  30. static double lvdMassAL(
  31. double lvadSaxEpi, double lvadSaxEndo, double lvldApical) =>
  32. _singleton.lvdMassAL(lvadSaxEpi, lvadSaxEndo, lvldApical);
  33. static double lvdMassIndex(double lvdmass, double bsa) =>
  34. _singleton.lvdMassIndex(lvdmass, bsa);
  35. static double fsPercent(double lvidd, double lvids) =>
  36. _singleton.fsPercent(lvidd, lvids);
  37. static double ivsPercent(double ivss, double ivsd) =>
  38. _singleton.ivsPercent(ivss, ivsd);
  39. static double lvpwPercent(double lvpws, double lvpwd) =>
  40. _singleton.lvpwPercent(lvpws, lvpwd);
  41. static double mamPercent(double mapse, double lvidd, double lvids) =>
  42. _singleton.mamPercent(mapse, lvidd, lvids);
  43. static double si(double sv, double bsa) => _singleton.si(sv, bsa);
  44. static double flowAreaByVTI(double otDiam, double otvti, double vti) =>
  45. _singleton.flowAreaByVTI(otDiam, otvti, vti);
  46. static double dviByVTI(double otvti, double vti) =>
  47. _singleton.dviByVTI(otvti, vti);
  48. static double avaIndex(double avaByVTI, double bsa) =>
  49. _singleton.avaIndex(avaByVTI, bsa);
  50. static double lvevi(double lvev, double bsa) => _singleton.lvevi(lvev, bsa);
  51. static double lvSimsonVolume(double l, List<double>? a, List<double>? b,
  52. [int num = 20]) =>
  53. _singleton.lvSimsonVolume(l, a, b, num);
  54. static double mrEROA(double mrRadius, double mrAlsVel, double mrVmax) =>
  55. _singleton.mrEROA(mrRadius, mrAlsVel, mrVmax);
  56. static double mrRV(double mrEROA, double mrVti) =>
  57. _singleton.mrRV(mrEROA, mrVti);
  58. static double mrFlowRate(double mrRadius, double mrAlsVel) =>
  59. _singleton.mrFlowRate(mrRadius, mrAlsVel);
  60. static double lvidIndex(double lvid, double bsa) =>
  61. _singleton.lvidIndex(lvid, bsa);
  62. static double lvidN(double lvid, double weight) =>
  63. _singleton.lvidN(lvid, weight);
  64. static double phtByDecT(double dt) => _singleton.phtByDecT(dt);
  65. static double mvaByPht(double mvPht) => _singleton.mvaByPht(mvPht);
  66. // CardiacFormulas._internal(); // 私有构造函数
  67. static double bsa(double weight) {
  68. return 0.1 * math.pow(weight, 0.667);
  69. }
  70. }
  71. abstract class ICardiacFormulaStrategy {
  72. double teiIndex(double co, double et);
  73. double ef(double edv, double esv);
  74. double edvTeichholz(double lvidd);
  75. double edvCube(double lvidd);
  76. double esvTeichholz(double lvids);
  77. double esvCube(double lvids);
  78. double sv(double edv, double esv);
  79. double co(double sv, {required int hr});
  80. double ci(double sv, {required int hr, required double bsa});
  81. double lvdMass(double ivsd, double lvidd, double lvpwd);
  82. double lvdMassAL(double lvadSaxEpi, double lvadSaxEndo, double lvldApical);
  83. double lvdMassIndex(double lvdmass, double bsa);
  84. double fsPercent(double lvidd, double lvids);
  85. double ivsPercent(double ivss, double ivsd);
  86. double lvpwPercent(double lvpws, double lvpwd);
  87. double mamPercent(double mapse, double lvidd, double lvids);
  88. double si(double sv, double bsa);
  89. double flowAreaByVTI(double otDiam, double otvti, double vti);
  90. double dviByVTI(double otvti, double vti);
  91. double avaIndex(double avaByVTI, double bsa);
  92. double lvevi(double lvev, double bsa);
  93. double lvSimsonVolume(double l, List<double>? a, List<double>? b,
  94. [int num = 20]);
  95. double mrEROA(double mrRadius, double mrAlsVel, double mrVmax);
  96. double mrRV(double mrEROA, double mrVti);
  97. double mrFlowRate(double mrRadius, double mrAlsVel);
  98. /// LVID Index
  99. ///
  100. /// [lvid] cm
  101. ///
  102. /// [bsa] m2
  103. double lvidIndex(double lvid, double bsa);
  104. /// LVID N
  105. ///
  106. /// [lvid] cm
  107. ///
  108. /// [weight] kg
  109. double lvidN(double lvid, double weight);
  110. /// <summary>
  111. /// Pht by DecT = 0.29 * dt
  112. /// </summary>
  113. /// <param name="dt">s</param>
  114. /// <returns>s</returns>
  115. double phtByDecT(double dt);
  116. /// <summary>
  117. /// MVA by PHT = 22.0/MV PHT/100 cm^2
  118. /// </summary>
  119. /// <param name="mvPht">s</param>
  120. /// <returns>(unit cm^2)</returns>
  121. double mvaByPht(double mvPht);
  122. }
  123. /// 基础公式
  124. class BaseCardiacFormulas implements ICardiacFormulaStrategy {
  125. /// IMP
  126. ///
  127. /// Formula: `(CO-ET)/ET`
  128. ///
  129. /// Result Unit: `None`
  130. @override
  131. double teiIndex(double co, double et) {
  132. double imp = 0.0;
  133. if (et != 0.0) {
  134. imp = (((co).abs() - (et).abs()) / et).abs();
  135. }
  136. return imp;
  137. }
  138. /// EF
  139. /// Formula: `(EDV - ESV )/EDV`
  140. ///
  141. /// [edv] Unit: `cm³`
  142. ///
  143. /// [esv] Unit: `cm³`
  144. ///
  145. /// Result Unit: `None`
  146. @override
  147. double ef(double edv, double esv) {
  148. // 这行判断暂时注释掉是为了使实际表现与旧版一致
  149. // if (edv < esv) {
  150. // return double.nan;
  151. // }
  152. return (edv - esv) / edv * 100;
  153. }
  154. /// EDV (Teichholz)
  155. ///
  156. /// Formula: `[7.0/(2.4 + LVIDd)] x LVIDd^3`
  157. ///
  158. /// [lvidd] Unit: `cm`
  159. ///
  160. /// Result Unit: `cm³`
  161. @override
  162. double edvTeichholz(double lvidd) {
  163. double edv = double.nan;
  164. if (!NumUtil.almostEquals(lvidd, 0)) {
  165. edv = 7.0 * math.pow(lvidd, 3) / (2.4 + lvidd);
  166. }
  167. return edv;
  168. }
  169. /// EDV (Cube)
  170. ///
  171. /// Formula: `LVIDd^3`
  172. ///
  173. /// [lvidd] Unit: `cm`
  174. ///
  175. /// Result Unit: `cm³`
  176. @override
  177. double edvCube(double lvidd) {
  178. double edv = double.nan;
  179. if (!NumUtil.almostEquals(lvidd, 0)) {
  180. edv = math.pow(lvidd, 3).toDouble();
  181. }
  182. return edv;
  183. }
  184. /// ESV (Teichholz)
  185. ///
  186. /// Formula: `[7.0/(2.4 + LVIDs)] x LVIDs^3`
  187. ///
  188. /// [lvids] Unit: `cm`
  189. ///
  190. /// Result Unit: `cm³`
  191. @override
  192. double esvTeichholz(double lvids) {
  193. // 计算公式相同,入参不同
  194. return edvTeichholz(lvids);
  195. }
  196. /// ESV (Cube)
  197. ///
  198. /// Formula: `LVIDs^3`
  199. ///
  200. /// [lvids] Unit: `cm`
  201. ///
  202. /// Result Unit: `cm³`
  203. @override
  204. double esvCube(double lvids) {
  205. // 计算公式相同,入参不同
  206. return edvCube(lvids);
  207. }
  208. /// SV
  209. @override
  210. double sv(double edv, double esv) {
  211. return edv - esv;
  212. }
  213. /// CO
  214. @override
  215. double co(
  216. double sv, {
  217. required int hr,
  218. }) {
  219. return (sv - hr) / 1000.0;
  220. }
  221. /// CI
  222. @override
  223. double ci(
  224. double sv, {
  225. required int hr,
  226. required double bsa,
  227. }) {
  228. return ((sv - hr) / 1000.0) / bsa;
  229. }
  230. /// <summary>
  231. /// LVEVI = LVEV / BSA
  232. /// </summary>
  233. /// <param name="lvev">Unit cm³</param>
  234. /// <param name="bsa">Unit m²</param>
  235. /// <returns>cm³/m²</returns>
  236. @override
  237. double lvevi(double lvev, double bsa) {
  238. return lvev / bsa;
  239. }
  240. /// LVdMass
  241. /// LVd Mass(2D)
  242. @override
  243. double lvdMass(double ivsd, double lvidd, double lvpwd) {
  244. final density = GlobalCardiacConfigs.density;
  245. double part1 = math.pow(ivsd + lvidd + lvpwd, 3).toDouble();
  246. double part2 = math.pow(lvidd, 3).toDouble();
  247. double value = (density * (part1 - part2)) / 1000.0;
  248. return value;
  249. }
  250. /// LVd Mass AL
  251. @override
  252. double lvdMassAL(
  253. double lvadSaxEpi,
  254. double lvadSaxEndo,
  255. double lvldApical,
  256. ) {
  257. double t =
  258. math.sqrt(lvadSaxEpi / math.pi) - math.sqrt(lvadSaxEndo / math.pi);
  259. double mass = 1.05 *
  260. 5 /
  261. 6 *
  262. (lvadSaxEpi * (lvldApical + t) - lvadSaxEndo * lvldApical) /
  263. 1000;
  264. return mass;
  265. }
  266. /// LVd Mass Index
  267. @override
  268. double lvdMassIndex(double lvdmass, double bsa) {
  269. return lvdmass / bsa * 1000;
  270. }
  271. /// %FS
  272. @override
  273. double fsPercent(double lvidd, double lvids) {
  274. return ((lvidd - lvids) / lvidd) * 100;
  275. }
  276. /// %IVS
  277. @override
  278. double ivsPercent(double ivss, double ivsd) {
  279. return ((ivss - ivsd) / ivsd) * 100;
  280. }
  281. /// %LVPW
  282. @override
  283. double lvpwPercent(double lvpws, double lvpwd) {
  284. return ((lvpws - lvpwd) / lvpwd) * 100;
  285. }
  286. /// MAM%
  287. @override
  288. double mamPercent(double mapse, double lvidd, double lvids) {
  289. return mapse / (lvidd - lvids + mapse) * 100;
  290. }
  291. /// SI
  292. ///
  293. /// (EDV - ESV)/BSA
  294. ///
  295. /// [sv] cm³
  296. ///
  297. /// [bsa] m²
  298. ///
  299. /// return `cm³/m²`
  300. @override
  301. double si(double sv, double bsa) {
  302. double si = sv / bsa;
  303. return si;
  304. }
  305. /// <summary>
  306. /// <para>MVA VTI = 1/4 x π x (LVOT Diam)^2 x LVOT VTI/MV VTI </para>
  307. /// <para>AVA VTI = 1/4 x π x (LVOT Diam)^2 x LVOT VTI/AV VTI</para>
  308. /// <para>TVA VTI = 1/4 x π x (RVOT Diam)^2 x RVOT VTI/TV VTI</para>
  309. /// <para>PVA VTI = 1/4 x π x (RVOT Diam)^2 x RVOT VTI/PV VTI</para>
  310. /// </summary>
  311. /// <param name="otDiam">cm</param>
  312. /// <param name="otvti">cm</param>
  313. /// <param name="vti">cm</param>
  314. /// <returns>cm^2</returns>
  315. @override
  316. double flowAreaByVTI(double otDiam, double otvti, double vti) {
  317. double sv = 0.25 * math.pi * math.pow(otDiam, 2) * otvti / vti;
  318. return sv;
  319. }
  320. /// <param name="otvti">cm</param>
  321. /// <param name="vti">cm</param>
  322. /// <returns>Unit None</returns>
  323. @override
  324. double dviByVTI(double otvti, double vti) {
  325. double dvi = double.nan;
  326. if (!GeneralFormulas.doubleAlmostEquals(vti, 0)) {
  327. dvi = otvti / vti;
  328. }
  329. return dvi;
  330. }
  331. /// <summary>
  332. /// AVA Index = avaByVTI/bsa
  333. /// </summary>
  334. /// <param name="avaByVTI">cm2</param>
  335. /// <param name="bsa">m2</param>
  336. /// <returns>cm2/m2</returns>
  337. @override
  338. double avaIndex(double avaByVTI, double bsa) {
  339. double index = double.nan;
  340. if (!GeneralFormulas.doubleAlmostEquals(bsa, 0)) {
  341. index = avaByVTI / bsa;
  342. }
  343. return index;
  344. }
  345. /// <summary>
  346. /// Formular : V= π/4×∑_(i=1)^20▒〖(a_i×b_i)〗×L/20
  347. /// </summary>
  348. /// <returns></returns>
  349. @override
  350. double lvSimsonVolume(double l, List<double>? a, List<double>? b,
  351. [int num = 20]) {
  352. double volume = double.nan;
  353. if (a != null && b != null) {
  354. double sum = 0;
  355. for (int i = 0; i < num; i++) {
  356. sum += a[i] * b[i] * l / num;
  357. }
  358. volume = math.pi / 4 * sum;
  359. }
  360. return volume;
  361. }
  362. @override
  363. double mrEROA(double mrRadius, double mrAlsVel, double mrVmax) {
  364. double mrEROA = double.nan;
  365. if (!GeneralFormulas.doubleAlmostEquals(mrVmax, 0)) {
  366. mrEROA = 2 * math.pi * math.pow(mrRadius, 2) * mrAlsVel / (mrVmax).abs();
  367. }
  368. return mrEROA;
  369. }
  370. @override
  371. double mrRV(double mrEROA, double mrVti) {
  372. return mrEROA * mrVti;
  373. }
  374. @override
  375. double mrFlowRate(double mrRadius, double mrAlsVel) {
  376. double flowRate = 2 * math.pi * math.pow(mrRadius, 2) * mrAlsVel;
  377. return flowRate;
  378. }
  379. @override
  380. double lvidIndex(double lvid, double bsa) {
  381. // [LVIDd|Distance"cm;2D"]/[BSA"m2;PatientInfo"]
  382. double value = lvid / bsa;
  383. return value;
  384. }
  385. @override
  386. double lvidN(double lvid, double weight) {
  387. // [LVIDs|Distance"cm;2D"]/pow([Weight"kg;PatientInfo"],0.294)
  388. double value = lvid / math.pow(weight, 0.294);
  389. return value;
  390. }
  391. /// <summary>
  392. /// Pht by DecT = 0.29 * dt
  393. /// </summary>
  394. /// <param name="dt">s</param>
  395. /// <returns>s</returns>
  396. @override
  397. double phtByDecT(double dt) {
  398. double pht = 0.29 * dt;
  399. return pht;
  400. }
  401. /// <summary>
  402. /// MVA by PHT = 22.0/MV PHT/100 cm^2
  403. /// </summary>
  404. /// <param name="mvPht">s</param>
  405. /// <returns>(unit cm^2)</returns>
  406. @override
  407. double mvaByPht(double mvPht) {
  408. double area = 22.0 / mvPht / 100;
  409. return area;
  410. }
  411. }
  412. /// 实验室小鼠
  413. class MouseCardiacFormulas extends BaseCardiacFormulas {
  414. MouseCardiacFormulas() : super();
  415. }
  416. /// 人用普通公式
  417. class AnimalsCardiacFormulas extends BaseCardiacFormulas {
  418. AnimalsCardiacFormulas() : super();
  419. // @override
  420. // double edvTeichholz(double lvidd) {
  421. // double edv = double.nan;
  422. // double animalsLvidd = lvidd / 10;
  423. // if (!NumUtil.almostEquals(animalsLvidd, 0)) {
  424. // edv = 7.0 * math.pow(animalsLvidd, 3) / (2.4 + animalsLvidd);
  425. // }
  426. // return edv;
  427. // }
  428. /// CO
  429. @override
  430. double co(
  431. double sv, {
  432. required int hr,
  433. }) {
  434. return (sv - hr);
  435. }
  436. /// CI
  437. @override
  438. double ci(
  439. double sv, {
  440. required int hr,
  441. required double bsa,
  442. }) {
  443. return ((sv - hr)) / bsa;
  444. }
  445. /// ESV (Teichholz)
  446. ///
  447. /// Formula: `[7.0/(2.4 + LVIDs)] x LVIDs^3`
  448. ///
  449. /// [lvids] Unit: `cm`
  450. ///
  451. /// Result Unit: `cm³`
  452. @override
  453. double esvTeichholz(double lvids) {
  454. // 计算公式相同,入参不同
  455. return edvTeichholz(lvids);
  456. }
  457. /// <summary>
  458. /// <para>MVA VTI = 1/4 x π x (LVOT Diam)^2 x LVOT VTI/MV VTI </para>
  459. /// <para>AVA VTI = 1/4 x π x (LVOT Diam)^2 x LVOT VTI/AV VTI</para>
  460. /// <para>TVA VTI = 1/4 x π x (RVOT Diam)^2 x RVOT VTI/TV VTI</para>
  461. /// <para>PVA VTI = 1/4 x π x (RVOT Diam)^2 x RVOT VTI/PV VTI</para>
  462. /// </summary>
  463. /// <param name="otDiam">cm</param>
  464. /// <param name="otvti">cm</param>
  465. /// <param name="vti">cm</param>
  466. /// <returns>cm^2</returns>
  467. /// SV(LVOT)|CO
  468. @override
  469. double flowAreaByVTI(double otDiam, double otvti, double vti) {
  470. double animalsOtDiam = otDiam / 10;
  471. double animalsOtvti = otvti / 10;
  472. double animalsVti = vti / 10;
  473. double sv =
  474. 0.25 * math.pi * math.pow(animalsOtDiam, 2) * animalsOtvti / animalsVti;
  475. return sv;
  476. }
  477. @override
  478. double lvdMass(double ivsd, double lvidd, double lvpwd) {
  479. final density = GlobalCardiacConfigs.density;
  480. const correctionFactor = GlobalCardiacConfigs.correctionFactor;
  481. double part1 = math.pow(ivsd + lvidd + lvpwd, 3).toDouble();
  482. double part2 = math.pow(lvidd, 3).toDouble();
  483. double value = ((density * part1 - part2) + correctionFactor) / 1000.0;
  484. return value;
  485. }
  486. }