Fixed measurement group tracking UID to make it work with OHIF
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*~
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OrthancStorage/
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__pycache__/
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config.json
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venv/
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# Those files are automatically downloaded
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models/resnet50-11ad3fa6.pth
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models/retina_res50_trained_08_03.pth
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CITATION.cff
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cff-version: "1.1.0"
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||||
message: "If you use this software, please cite it using these metadata."
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title: Orthanc
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abstract: "Orthanc is a lightweight open-source DICOM server for medical imaging supporting representational state transfer (REST)."
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||||
authors:
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-
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affiliation: UCLouvain
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family-names: Jodogne
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given-names: "Sébastien"
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doi: "10.1007/s10278-018-0082-y"
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license: "GPL-3.0-or-later"
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||||
repository-code: "https://orthanc.uclouvain.be/hg/orthanc/"
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version: 1.12.3
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date-released: 2024-01-31
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COPYING
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COPYING
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|
||||
reinstated permanently if the copyright holder notifies you of the
|
||||
violation by some reasonable means, this is the first time you have
|
||||
received notice of violation of this License (for any work) from that
|
||||
copyright holder, and you cure the violation prior to 30 days after
|
||||
your receipt of the notice.
|
||||
|
||||
Termination of your rights under this section does not terminate the
|
||||
licenses of parties who have received copies or rights from you under
|
||||
this License. If your rights have been terminated and not permanently
|
||||
reinstated, you do not qualify to receive new licenses for the same
|
||||
material under section 10.
|
||||
|
||||
9. Acceptance Not Required for Having Copies.
|
||||
|
||||
You are not required to accept this License in order to receive or
|
||||
run a copy of the Program. Ancillary propagation of a covered work
|
||||
occurring solely as a consequence of using peer-to-peer transmission
|
||||
to receive a copy likewise does not require acceptance. However,
|
||||
nothing other than this License grants you permission to propagate or
|
||||
modify any covered work. These actions infringe copyright if you do
|
||||
not accept this License. Therefore, by modifying or propagating a
|
||||
covered work, you indicate your acceptance of this License to do so.
|
||||
|
||||
10. Automatic Licensing of Downstream Recipients.
|
||||
|
||||
Each time you convey a covered work, the recipient automatically
|
||||
receives a license from the original licensors, to run, modify and
|
||||
propagate that work, subject to this License. You are not responsible
|
||||
for enforcing compliance by third parties with this License.
|
||||
|
||||
An "entity transaction" is a transaction transferring control of an
|
||||
organization, or substantially all assets of one, or subdividing an
|
||||
organization, or merging organizations. If propagation of a covered
|
||||
work results from an entity transaction, each party to that
|
||||
transaction who receives a copy of the work also receives whatever
|
||||
licenses to the work the party's predecessor in interest had or could
|
||||
give under the previous paragraph, plus a right to possession of the
|
||||
Corresponding Source of the work from the predecessor in interest, if
|
||||
the predecessor has it or can get it with reasonable efforts.
|
||||
|
||||
You may not impose any further restrictions on the exercise of the
|
||||
rights granted or affirmed under this License. For example, you may
|
||||
not impose a license fee, royalty, or other charge for exercise of
|
||||
rights granted under this License, and you may not initiate litigation
|
||||
(including a cross-claim or counterclaim in a lawsuit) alleging that
|
||||
any patent claim is infringed by making, using, selling, offering for
|
||||
sale, or importing the Program or any portion of it.
|
||||
|
||||
11. Patents.
|
||||
|
||||
A "contributor" is a copyright holder who authorizes use under this
|
||||
License of the Program or a work on which the Program is based. The
|
||||
work thus licensed is called the contributor's "contributor version".
|
||||
|
||||
A contributor's "essential patent claims" are all patent claims
|
||||
owned or controlled by the contributor, whether already acquired or
|
||||
hereafter acquired, that would be infringed by some manner, permitted
|
||||
by this License, of making, using, or selling its contributor version,
|
||||
but do not include claims that would be infringed only as a
|
||||
consequence of further modification of the contributor version. For
|
||||
purposes of this definition, "control" includes the right to grant
|
||||
patent sublicenses in a manner consistent with the requirements of
|
||||
this License.
|
||||
|
||||
Each contributor grants you a non-exclusive, worldwide, royalty-free
|
||||
patent license under the contributor's essential patent claims, to
|
||||
make, use, sell, offer for sale, import and otherwise run, modify and
|
||||
propagate the contents of its contributor version.
|
||||
|
||||
In the following three paragraphs, a "patent license" is any express
|
||||
agreement or commitment, however denominated, not to enforce a patent
|
||||
(such as an express permission to practice a patent or covenant not to
|
||||
sue for patent infringement). To "grant" such a patent license to a
|
||||
party means to make such an agreement or commitment not to enforce a
|
||||
patent against the party.
|
||||
|
||||
If you convey a covered work, knowingly relying on a patent license,
|
||||
and the Corresponding Source of the work is not available for anyone
|
||||
to copy, free of charge and under the terms of this License, through a
|
||||
publicly available network server or other readily accessible means,
|
||||
then you must either (1) cause the Corresponding Source to be so
|
||||
available, or (2) arrange to deprive yourself of the benefit of the
|
||||
patent license for this particular work, or (3) arrange, in a manner
|
||||
consistent with the requirements of this License, to extend the patent
|
||||
license to downstream recipients. "Knowingly relying" means you have
|
||||
actual knowledge that, but for the patent license, your conveying the
|
||||
covered work in a country, or your recipient's use of the covered work
|
||||
in a country, would infringe one or more identifiable patents in that
|
||||
country that you have reason to believe are valid.
|
||||
|
||||
If, pursuant to or in connection with a single transaction or
|
||||
arrangement, you convey, or propagate by procuring conveyance of, a
|
||||
covered work, and grant a patent license to some of the parties
|
||||
receiving the covered work authorizing them to use, propagate, modify
|
||||
or convey a specific copy of the covered work, then the patent license
|
||||
you grant is automatically extended to all recipients of the covered
|
||||
work and works based on it.
|
||||
|
||||
A patent license is "discriminatory" if it does not include within
|
||||
the scope of its coverage, prohibits the exercise of, or is
|
||||
conditioned on the non-exercise of one or more of the rights that are
|
||||
specifically granted under this License. You may not convey a covered
|
||||
work if you are a party to an arrangement with a third party that is
|
||||
in the business of distributing software, under which you make payment
|
||||
to the third party based on the extent of your activity of conveying
|
||||
the work, and under which the third party grants, to any of the
|
||||
parties who would receive the covered work from you, a discriminatory
|
||||
patent license (a) in connection with copies of the covered work
|
||||
conveyed by you (or copies made from those copies), or (b) primarily
|
||||
for and in connection with specific products or compilations that
|
||||
contain the covered work, unless you entered into that arrangement,
|
||||
or that patent license was granted, prior to 28 March 2007.
|
||||
|
||||
Nothing in this License shall be construed as excluding or limiting
|
||||
any implied license or other defenses to infringement that may
|
||||
otherwise be available to you under applicable patent law.
|
||||
|
||||
12. No Surrender of Others' Freedom.
|
||||
|
||||
If conditions are imposed on you (whether by court order, agreement or
|
||||
otherwise) that contradict the conditions of this License, they do not
|
||||
excuse you from the conditions of this License. If you cannot convey a
|
||||
covered work so as to satisfy simultaneously your obligations under this
|
||||
License and any other pertinent obligations, then as a consequence you may
|
||||
not convey it at all. For example, if you agree to terms that obligate you
|
||||
to collect a royalty for further conveying from those to whom you convey
|
||||
the Program, the only way you could satisfy both those terms and this
|
||||
License would be to refrain entirely from conveying the Program.
|
||||
|
||||
13. Remote Network Interaction; Use with the GNU General Public License.
|
||||
|
||||
Notwithstanding any other provision of this License, if you modify the
|
||||
Program, your modified version must prominently offer all users
|
||||
interacting with it remotely through a computer network (if your version
|
||||
supports such interaction) an opportunity to receive the Corresponding
|
||||
Source of your version by providing access to the Corresponding Source
|
||||
from a network server at no charge, through some standard or customary
|
||||
means of facilitating copying of software. This Corresponding Source
|
||||
shall include the Corresponding Source for any work covered by version 3
|
||||
of the GNU General Public License that is incorporated pursuant to the
|
||||
following paragraph.
|
||||
|
||||
Notwithstanding any other provision of this License, you have
|
||||
permission to link or combine any covered work with a work licensed
|
||||
under version 3 of the GNU General Public License into a single
|
||||
combined work, and to convey the resulting work. The terms of this
|
||||
License will continue to apply to the part which is the covered work,
|
||||
but the work with which it is combined will remain governed by version
|
||||
3 of the GNU General Public License.
|
||||
|
||||
14. Revised Versions of this License.
|
||||
|
||||
The Free Software Foundation may publish revised and/or new versions of
|
||||
the GNU Affero General Public License from time to time. Such new versions
|
||||
will be similar in spirit to the present version, but may differ in detail to
|
||||
address new problems or concerns.
|
||||
|
||||
Each version is given a distinguishing version number. If the
|
||||
Program specifies that a certain numbered version of the GNU Affero General
|
||||
Public License "or any later version" applies to it, you have the
|
||||
option of following the terms and conditions either of that numbered
|
||||
version or of any later version published by the Free Software
|
||||
Foundation. If the Program does not specify a version number of the
|
||||
GNU Affero General Public License, you may choose any version ever published
|
||||
by the Free Software Foundation.
|
||||
|
||||
If the Program specifies that a proxy can decide which future
|
||||
versions of the GNU Affero General Public License can be used, that proxy's
|
||||
public statement of acceptance of a version permanently authorizes you
|
||||
to choose that version for the Program.
|
||||
|
||||
Later license versions may give you additional or different
|
||||
permissions. However, no additional obligations are imposed on any
|
||||
author or copyright holder as a result of your choosing to follow a
|
||||
later version.
|
||||
|
||||
15. Disclaimer of Warranty.
|
||||
|
||||
THERE IS NO WARRANTY FOR THE PROGRAM, TO THE EXTENT PERMITTED BY
|
||||
APPLICABLE LAW. EXCEPT WHEN OTHERWISE STATED IN WRITING THE COPYRIGHT
|
||||
HOLDERS AND/OR OTHER PARTIES PROVIDE THE PROGRAM "AS IS" WITHOUT WARRANTY
|
||||
OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, BUT NOT LIMITED TO,
|
||||
THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR
|
||||
PURPOSE. THE ENTIRE RISK AS TO THE QUALITY AND PERFORMANCE OF THE PROGRAM
|
||||
IS WITH YOU. SHOULD THE PROGRAM PROVE DEFECTIVE, YOU ASSUME THE COST OF
|
||||
ALL NECESSARY SERVICING, REPAIR OR CORRECTION.
|
||||
|
||||
16. Limitation of Liability.
|
||||
|
||||
IN NO EVENT UNLESS REQUIRED BY APPLICABLE LAW OR AGREED TO IN WRITING
|
||||
WILL ANY COPYRIGHT HOLDER, OR ANY OTHER PARTY WHO MODIFIES AND/OR CONVEYS
|
||||
THE PROGRAM AS PERMITTED ABOVE, BE LIABLE TO YOU FOR DAMAGES, INCLUDING ANY
|
||||
GENERAL, SPECIAL, INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE
|
||||
USE OR INABILITY TO USE THE PROGRAM (INCLUDING BUT NOT LIMITED TO LOSS OF
|
||||
DATA OR DATA BEING RENDERED INACCURATE OR LOSSES SUSTAINED BY YOU OR THIRD
|
||||
PARTIES OR A FAILURE OF THE PROGRAM TO OPERATE WITH ANY OTHER PROGRAMS),
|
||||
EVEN IF SUCH HOLDER OR OTHER PARTY HAS BEEN ADVISED OF THE POSSIBILITY OF
|
||||
SUCH DAMAGES.
|
||||
|
||||
17. Interpretation of Sections 15 and 16.
|
||||
|
||||
If the disclaimer of warranty and limitation of liability provided
|
||||
above cannot be given local legal effect according to their terms,
|
||||
reviewing courts shall apply local law that most closely approximates
|
||||
an absolute waiver of all civil liability in connection with the
|
||||
Program, unless a warranty or assumption of liability accompanies a
|
||||
copy of the Program in return for a fee.
|
||||
|
||||
END OF TERMS AND CONDITIONS
|
||||
|
||||
How to Apply These Terms to Your New Programs
|
||||
|
||||
If you develop a new program, and you want it to be of the greatest
|
||||
possible use to the public, the best way to achieve this is to make it
|
||||
free software which everyone can redistribute and change under these terms.
|
||||
|
||||
To do so, attach the following notices to the program. It is safest
|
||||
to attach them to the start of each source file to most effectively
|
||||
state the exclusion of warranty; and each file should have at least
|
||||
the "copyright" line and a pointer to where the full notice is found.
|
||||
|
||||
<one line to give the program's name and a brief idea of what it does.>
|
||||
Copyright (C) <year> <name of author>
|
||||
|
||||
This program is free software: you can redistribute it and/or modify
|
||||
it under the terms of the GNU Affero General Public License as published by
|
||||
the Free Software Foundation, either version 3 of the License, or
|
||||
(at your option) any later version.
|
||||
|
||||
This program is distributed in the hope that it will be useful,
|
||||
but WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
|
||||
GNU Affero General Public License for more details.
|
||||
|
||||
You should have received a copy of the GNU Affero General Public License
|
||||
along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
|
||||
Also add information on how to contact you by electronic and paper mail.
|
||||
|
||||
If your software can interact with users remotely through a computer
|
||||
network, you should also make sure that it provides a way for users to
|
||||
get its source. For example, if your program is a web application, its
|
||||
interface could display a "Source" link that leads users to an archive
|
||||
of the code. There are many ways you could offer source, and different
|
||||
solutions will be better for different programs; see section 13 for the
|
||||
specific requirements.
|
||||
|
||||
You should also get your employer (if you work as a programmer) or school,
|
||||
if any, to sign a "copyright disclaimer" for the program, if necessary.
|
||||
For more information on this, and how to apply and follow the GNU AGPL, see
|
||||
<http://www.gnu.org/licenses/>.
|
||||
129
OrthancExplorer.js
Normal file
129
OrthancExplorer.js
Normal file
@ -0,0 +1,129 @@
|
||||
/**
|
||||
* Orthanc plugin for mammography
|
||||
* Copyright (C) 2024 Edouard Chatzopoulos and Sebastien Jodogne,
|
||||
* ICTEAM UCLouvain, Belgium
|
||||
*
|
||||
* This program is free software: you can redistribute it and/or
|
||||
* modify it under the terms of the GNU Affero General Public License
|
||||
* as published by the Free Software Foundation, either version 3 of
|
||||
* the License, or (at your option) any later version.
|
||||
*
|
||||
* This program is distributed in the hope that it will be useful, but
|
||||
* WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
* MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
|
||||
* Affero General Public License for more details.
|
||||
*
|
||||
* You should have received a copy of the GNU Affero General Public License
|
||||
* along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
**/
|
||||
|
||||
var mammographyButton = null;
|
||||
|
||||
$('#instance').live('pagecreate', function() {
|
||||
mammographyButton = $('<a>')
|
||||
.attr('data-role', 'button')
|
||||
.attr('href', '#')
|
||||
.attr('data-icon', 'search')
|
||||
.attr('data-theme', 'e')
|
||||
.text('Deep learning for mammography');
|
||||
|
||||
mammographyButton.insertBefore($('#instance-delete').parent().parent());
|
||||
|
||||
mammographyButton.click(function() {
|
||||
if ($.mobile.pageData) {
|
||||
$.ajax({
|
||||
type: 'POST',
|
||||
url: '../mammography-apply',
|
||||
dataType: 'json',
|
||||
contentType: 'application/json',
|
||||
data: JSON.stringify({
|
||||
'instance' : $.mobile.pageData.uuid,
|
||||
}),
|
||||
cache: false,
|
||||
success: function(result) {
|
||||
console.log(result);
|
||||
window.location.assign('explorer.html#series?uuid=' + result.ParentSeries);
|
||||
},
|
||||
error: function() {
|
||||
alert('Cannot apply deep learning model');
|
||||
}
|
||||
});
|
||||
}
|
||||
});
|
||||
});
|
||||
|
||||
$('#instance').live('pagebeforeshow', function() {
|
||||
mammographyButton.hide();
|
||||
});
|
||||
|
||||
$('#instance').live('pageshow', function() {
|
||||
$.ajax({
|
||||
url: '../instances/' + $.mobile.pageData.uuid + '/tags?simplify',
|
||||
dataType: 'json',
|
||||
cache: false,
|
||||
success: function(tags) {
|
||||
if (tags.Modality == 'MG') {
|
||||
mammographyButton.show();
|
||||
}
|
||||
}
|
||||
});
|
||||
});
|
||||
|
||||
|
||||
$('#study').live('pagebeforecreate', function() {
|
||||
var b = $('<a>')
|
||||
.attr('data-role', 'button')
|
||||
.attr('href', '#')
|
||||
.attr('data-icon', 'search')
|
||||
.attr('data-theme', 'e')
|
||||
.text('Stone Web Viewer (for mammography)');
|
||||
|
||||
b.insertBefore($('#study-delete').parent().parent());
|
||||
b.click(function() {
|
||||
if ($.mobile.pageData) {
|
||||
$.ajax({
|
||||
url: '../studies/' + $.mobile.pageData.uuid,
|
||||
dataType: 'json',
|
||||
cache: false,
|
||||
success: function(study) {
|
||||
var studyInstanceUid = study.MainDicomTags.StudyInstanceUID;
|
||||
window.open('../mammography-viewer/index.html?study=' + studyInstanceUid);
|
||||
}
|
||||
});
|
||||
}
|
||||
});
|
||||
});
|
||||
|
||||
|
||||
$('#series').live('pagebeforecreate', function() {
|
||||
var b = $('<a>')
|
||||
.attr('data-role', 'button')
|
||||
.attr('href', '#')
|
||||
.attr('data-icon', 'search')
|
||||
.attr('data-theme', 'e')
|
||||
.text('Stone Web Viewer (for mammography)');
|
||||
|
||||
b.insertBefore($('#series-delete').parent().parent());
|
||||
b.click(function() {
|
||||
if ($.mobile.pageData) {
|
||||
$.ajax({
|
||||
url: '../series/' + $.mobile.pageData.uuid,
|
||||
dataType: 'json',
|
||||
cache: false,
|
||||
success: function(series) {
|
||||
$.ajax({
|
||||
url: '../studies/' + series.ParentStudy,
|
||||
dataType: 'json',
|
||||
cache: false,
|
||||
success: function(study) {
|
||||
var studyInstanceUid = study.MainDicomTags.StudyInstanceUID;
|
||||
var seriesInstanceUid = series.MainDicomTags.SeriesInstanceUID;
|
||||
window.open('../mammography-viewer/index.html?study=' + studyInstanceUid +
|
||||
'&series=' + seriesInstanceUid);
|
||||
}
|
||||
});
|
||||
}
|
||||
});
|
||||
}
|
||||
});
|
||||
});
|
||||
124
README.md
Normal file
124
README.md
Normal file
@ -0,0 +1,124 @@
|
||||
Mammography plugin for Orthanc
|
||||
==============================
|
||||
|
||||
This plugin for [Orthanc](https://orthanc.uclouvain.be/) adds a **deep
|
||||
learning algorithm to detect masses in scanned mammograms**. The inference
|
||||
algorithm produces DICOM-SR (structured reports) instances that are
|
||||
stored inside Orthanc. The DICOM-SR instance can then be displayed
|
||||
using a version of the [Stone Web viewer for
|
||||
Orthanc](https://www.orthanc-server.com/static.php?page=stone-web-viewer).
|
||||
|
||||
[Reference paper](https://ebooks.iospress.nl/doi/10.3233/SHTI240603),
|
||||
in the BibTeX format:
|
||||
|
||||
```BibTeX
|
||||
@inproceedings{OrthancMIE2024,
|
||||
title = {Integrated and Interoperable Platform for Detecting Masses on Mammograms},
|
||||
author = {Chatzopoulos, Edouard and Jodogne, S\'ebastien},
|
||||
booktitle = {34th Medical Informatics Europe Conference (MIE 2024)},
|
||||
address = {Athens, Greece},
|
||||
journal = {Studies in Health Technology and Informatics},
|
||||
volume = {316},
|
||||
pages = {1103-1107},
|
||||
issn = {1879-8365},
|
||||
doi = {10.3233/SHTI240603},
|
||||
publisher = {{IOS} Press},
|
||||
year = {2024}
|
||||
}
|
||||
```
|
||||
|
||||
This plugin is copyrighted by the UCLouvain university, under the
|
||||
AGPLv3+ license. It is a deliverable of the research lab led by
|
||||
[Sébastien Jodogne](https://info.ucl.ac.be/~sjodogne/).
|
||||
|
||||

|
||||
|
||||
|
||||
Setup
|
||||
-----
|
||||
|
||||
Make sure that Python 3 is installed with support of [virtual
|
||||
environments](https://docs.python.org/3/library/venv.html). Under
|
||||
Debian/Ubuntu distributions, this can be done by running:
|
||||
|
||||
```
|
||||
$ sudo apt update
|
||||
$ sudo apt install python3 python3-venv
|
||||
```
|
||||
|
||||
Evidently, you also have to [install
|
||||
Orthanc](https://www.orthanc-server.com/download.php). The mammography
|
||||
plugin requires the two following plugins for Orthanc to be installed:
|
||||
|
||||
* [Python plugin](https://orthanc.uclouvain.be/book/plugins/python.html).
|
||||
* [DICOMweb plugin](https://orthanc.uclouvain.be/book/plugins/dicomweb.html), if you want to use the DICOM-SR viewer.
|
||||
|
||||
|
||||
Configuration
|
||||
-------------
|
||||
|
||||
Firstly, clone this repository:
|
||||
|
||||
```
|
||||
$ cd /tmp/
|
||||
$ git clone https://github.com/jodogne/orthanc-mammography/
|
||||
```
|
||||
|
||||
Secondly, setup the Python virtual environment with the required
|
||||
dependencies:
|
||||
|
||||
```
|
||||
$ cd /tmp/orthanc-mammography/
|
||||
$ python3 -m venv venv
|
||||
$ source ./venv/bin/activate
|
||||
(venv) python3 -m pip install --upgrade pip
|
||||
(venv) python3 -m pip install -r requirements.txt
|
||||
```
|
||||
|
||||
Thirdly, create a [configuration
|
||||
file](https://orthanc.uclouvain.be/book/plugins/dicomweb.html#installation)
|
||||
for Orthanc with Python. A minimalist configuration file would look
|
||||
like (make sure to adapt the path to the virtual environment,
|
||||
depending on your version of Python):
|
||||
|
||||
```json
|
||||
{
|
||||
"Plugins" : [
|
||||
"...list of paths to the Python and DICOMweb plugins..."
|
||||
],
|
||||
"Python" : {
|
||||
"Path" : "./mammography.py"
|
||||
},
|
||||
"Mammography" : {
|
||||
"VirtualEnv" : "./venv/lib/python3.10/site-packages/"
|
||||
}
|
||||
}
|
||||
```
|
||||
|
||||
Finally, start Orthanc using this configuration file.
|
||||
|
||||
|
||||
Usage
|
||||
-----
|
||||
|
||||
Two samples images from the [CBIS-DDSM
|
||||
dataset](https://wiki.cancerimagingarchive.net/pages/viewpage.action?pageId=22516629)
|
||||
are available in the [`./sample-images/` folder](./sample-images/).
|
||||
|
||||
[Upload DICOM images of mammograms to
|
||||
Orthanc](https://orthanc.uclouvain.be/book/users/cookbook.html#uploading-dicom-files).
|
||||
|
||||
Using the built-in [Orthanc
|
||||
Explorer](http://localhost:8042/app/explorer.html) interface of
|
||||
Orthanc, go down in the DICOM hierarchy until you reach a DICOM
|
||||
instance whose modality is `MG` (mammogram). The yellow button `Deep
|
||||
learning for mammography` will appear.
|
||||
|
||||
Clicking on the button will launch the deep learning inference. Once
|
||||
the inference is done (this takes about 5 seconds on a standard
|
||||
laptop), Orthanc Explorer is automatically redirected to the
|
||||
newly-created DICOM series that contains the DICOM-SR instance with
|
||||
the results of the inference.
|
||||
|
||||
You can then click on the yellow button `Stone Web viewer (for
|
||||
mammography)` to display the content of the DICOM-SR.
|
||||
101
dicom_sr.py
Normal file
101
dicom_sr.py
Normal file
@ -0,0 +1,101 @@
|
||||
# Orthanc plugin for mammography
|
||||
# Copyright (C) 2024 Edouard Chatzopoulos and Sebastien Jodogne,
|
||||
# ICTEAM UCLouvain, Belgium
|
||||
#
|
||||
# This program is free software: you can redistribute it and/or
|
||||
# modify it under the terms of the GNU Affero General Public License
|
||||
# as published by the Free Software Foundation, either version 3 of
|
||||
# the License, or (at your option) any later version.
|
||||
#
|
||||
# This program is distributed in the hope that it will be useful, but
|
||||
# WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
|
||||
# Affero General Public License for more details.
|
||||
#
|
||||
# You should have received a copy of the GNU Affero General Public License
|
||||
# along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
|
||||
|
||||
import highdicom
|
||||
import model
|
||||
import numpy
|
||||
import pydicom
|
||||
import time
|
||||
from datetime import datetime
|
||||
|
||||
|
||||
def CreateProbabilityOfCancer(probability):
|
||||
assert(probability >= 0 and probability <= 100)
|
||||
|
||||
return [
|
||||
highdicom.sr.Measurement(
|
||||
name = pydicom.sr.codedict.codes.DCM.ProbabilityOfCancer,
|
||||
value = probability,
|
||||
unit = pydicom.sr.codedict.codes.UCUM.Percent,
|
||||
),
|
||||
]
|
||||
|
||||
|
||||
def apply(retina_net, dicom,
|
||||
minimum_score = 0.2,
|
||||
title = 'Orthanc Deep Learning for Mammography'):
|
||||
start = time.time()
|
||||
result = model.apply_model_to_dicom(retina_net, dicom, rescale_boxes=True)
|
||||
end = time.time()
|
||||
print('Time: %.02f seconds' % (end - start))
|
||||
|
||||
assert(len(result['boxes']) == len(result['scores']))
|
||||
|
||||
# Generic X-ray report, added in DICOM 2023c, so not directly
|
||||
# available in pydicom and in DicomSRValidator:
|
||||
# https://dicom.nema.org/medical/dicom/2023c/output/chtml/part16/sect_CID_100.html
|
||||
reportedProcedure = pydicom.sr.coding.Code(value = '43468-8',
|
||||
scheme_designator = 'LN',
|
||||
meaning = 'XR unspecified body region')
|
||||
|
||||
observation_context = highdicom.sr.ObservationContext()
|
||||
|
||||
planar_groups = []
|
||||
|
||||
for i in range(len(result['boxes'])):
|
||||
score = result['scores'][i].detach().numpy()
|
||||
if score > minimum_score:
|
||||
box = result['boxes'][i].detach().numpy()
|
||||
assert(len(box) == 4)
|
||||
|
||||
(x1, y1, x2, y2) = box
|
||||
|
||||
planar_groups.append(highdicom.sr.PlanarROIMeasurementsAndQualitativeEvaluations(
|
||||
referenced_region = highdicom.sr.ImageRegion(
|
||||
graphic_type = highdicom.sr.GraphicTypeValues.POLYLINE,
|
||||
graphic_data = numpy.array([ [x1, y1], [x2, y1], [x2, y2], [x1,y2], [x1,y1] ]),
|
||||
source_image = highdicom.sr.SourceImageForRegion.from_source_image(dicom, referenced_frame_numbers = None),
|
||||
),
|
||||
tracking_identifier = highdicom.sr.TrackingIdentifier(
|
||||
identifier = title,
|
||||
uid = highdicom.UID(),
|
||||
),
|
||||
# 'SCT' means 'SNOMED-CT'
|
||||
# geometric_purpose = highdicom.sr.CodedConcept('75958009', 'SCT', 'Bounded by'),
|
||||
measurements = CreateProbabilityOfCancer(score * 100.0),
|
||||
))
|
||||
|
||||
measurement_report = highdicom.sr.MeasurementReport(
|
||||
observation_context = observation_context,
|
||||
procedure_reported = reportedProcedure,
|
||||
imaging_measurements = planar_groups,
|
||||
)
|
||||
|
||||
sr_object = highdicom.sr.ComprehensiveSR(
|
||||
evidence = [ dicom ],
|
||||
content = measurement_report,
|
||||
series_number = 1,
|
||||
series_instance_uid = highdicom.UID(),
|
||||
sop_instance_uid = highdicom.UID(),
|
||||
instance_number = 1
|
||||
)
|
||||
|
||||
sr_object.SeriesDate = datetime.now().strftime("%Y%m%d")
|
||||
sr_object.SeriesTime = datetime.now().strftime("%H%M%S")
|
||||
|
||||
return sr_object
|
||||
76
download.py
Normal file
76
download.py
Normal file
@ -0,0 +1,76 @@
|
||||
# Orthanc plugin for mammography
|
||||
# Copyright (C) 2024 Edouard Chatzopoulos and Sebastien Jodogne,
|
||||
# ICTEAM UCLouvain, Belgium
|
||||
#
|
||||
# This program is free software: you can redistribute it and/or
|
||||
# modify it under the terms of the GNU Affero General Public License
|
||||
# as published by the Free Software Foundation, either version 3 of
|
||||
# the License, or (at your option) any later version.
|
||||
#
|
||||
# This program is distributed in the hope that it will be useful, but
|
||||
# WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
|
||||
# Affero General Public License for more details.
|
||||
#
|
||||
# You should have received a copy of the GNU Affero General Public License
|
||||
# along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
|
||||
|
||||
import hashlib
|
||||
import io
|
||||
import os
|
||||
import requests
|
||||
import sys
|
||||
|
||||
def get(target, url, expected_size, expected_md5):
|
||||
print('Downloading: %s' % url)
|
||||
|
||||
if os.path.isfile(target):
|
||||
with open(target, 'rb') as f:
|
||||
content = f.read()
|
||||
|
||||
if (len(content) == expected_size and
|
||||
hashlib.md5(content).hexdigest() == expected_md5):
|
||||
print(' File already downloaded')
|
||||
return
|
||||
else:
|
||||
raise Exception('Target file already exists with bad content, please remove it: %s' % target)
|
||||
|
||||
r = requests.get(url, stream = True)
|
||||
r.raise_for_status()
|
||||
|
||||
content_length = int(r.headers['Content-Length'])
|
||||
if content_length != expected_size:
|
||||
raise Exception('Bad file size on the server: %d (actual) vs. %d (expected)' % (content_length, expected_size))
|
||||
|
||||
bar_width = 30
|
||||
|
||||
with io.BytesIO() as f:
|
||||
progress = 0
|
||||
|
||||
for chunk in r.iter_content(chunk_size = 1024 * 1024):
|
||||
f.write(chunk)
|
||||
|
||||
progress += len(chunk)
|
||||
percent = float(progress) / float(content_length)
|
||||
sys.stdout.write('\r')
|
||||
sys.stdout.write(' Completed: [{:{}}] {:>3}%'
|
||||
.format('=' * round(percent * float(bar_width)),
|
||||
bar_width, round(percent * 100.0)))
|
||||
sys.stdout.flush()
|
||||
|
||||
sys.stdout.write('\n')
|
||||
sys.stdout.flush()
|
||||
|
||||
f.seek(0)
|
||||
content = f.read()
|
||||
|
||||
if len(content) != expected_size:
|
||||
raise Exception('Server has not returned the expected number of bytes: %d (actual) vs. %d (expected)' % (len(content), expected_size))
|
||||
|
||||
actual_md5 = hashlib.md5(content).hexdigest()
|
||||
if actual_md5 != expected_md5:
|
||||
raise Exception('Bad MD5 checksum: %s (actual) vs. %s (expected)' % (actual_md5, expected_md5))
|
||||
|
||||
with open(target, 'wb') as f:
|
||||
f.write(content)
|
||||
137
mammography.py
Normal file
137
mammography.py
Normal file
@ -0,0 +1,137 @@
|
||||
# Orthanc plugin for mammography
|
||||
# Copyright (C) 2024 Edouard Chatzopoulos and Sebastien Jodogne,
|
||||
# ICTEAM UCLouvain, Belgium
|
||||
#
|
||||
# This program is free software: you can redistribute it and/or
|
||||
# modify it under the terms of the GNU Affero General Public License
|
||||
# as published by the Free Software Foundation, either version 3 of
|
||||
# the License, or (at your option) any later version.
|
||||
#
|
||||
# This program is distributed in the hope that it will be useful, but
|
||||
# WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
|
||||
# Affero General Public License for more details.
|
||||
#
|
||||
# You should have received a copy of the GNU Affero General Public License
|
||||
# along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
|
||||
|
||||
##
|
||||
## Initialize the virtual environment for pytorch.
|
||||
## DO NOT add other "import" in this section!
|
||||
##
|
||||
|
||||
import sys
|
||||
import json
|
||||
import orthanc
|
||||
|
||||
config = json.loads(orthanc.GetConfiguration()).get('Mammography', {})
|
||||
venv = config.get('VirtualEnv')
|
||||
|
||||
if venv != None:
|
||||
# https://orthanc.uclouvain.be/book/plugins/python.html#working-with-virtual-environments
|
||||
sys.path.insert(0, venv)
|
||||
|
||||
|
||||
##
|
||||
## Install the Stone Web viewer
|
||||
##
|
||||
|
||||
STONE_VERSION = '2024-08-31-StoneWebViewer-DICOM-SR'
|
||||
VIEWER_PREFIX = '/mammography-viewer/'
|
||||
|
||||
import os
|
||||
SCRIPT_DIR = os.path.dirname(os.path.realpath(__file__))
|
||||
VIEWER_DIR = os.path.join(SCRIPT_DIR, 'viewer')
|
||||
|
||||
sys.path.append(os.path.join(SCRIPT_DIR, '..'))
|
||||
import download
|
||||
|
||||
os.makedirs(VIEWER_DIR, exist_ok = True)
|
||||
|
||||
download.get(os.path.join(VIEWER_DIR, '%s.zip' % STONE_VERSION),
|
||||
'https://github.com/jodogne/orthanc-mammography/raw/master/viewer/%s.zip' % STONE_VERSION,
|
||||
4815178, '86b52a17f86e4769d12e9ae680c4a99f')
|
||||
|
||||
import zipfile
|
||||
stone_assets = zipfile.ZipFile(os.path.join(VIEWER_DIR, '%s.zip' % STONE_VERSION))
|
||||
|
||||
MIME_TYPES = {
|
||||
'.css' : 'text/css',
|
||||
'.gif' : 'image/gif',
|
||||
'.html' : 'text/html',
|
||||
'.jpeg' : 'image/jpeg',
|
||||
'.js' : 'text/javascript',
|
||||
'.png' : 'image/png',
|
||||
}
|
||||
|
||||
def serve_stone_web_viewer(output, uri, **request):
|
||||
if not uri.startswith(VIEWER_PREFIX):
|
||||
output.SendHttpStatusCode(404)
|
||||
elif request['method'] != 'GET':
|
||||
output.SendMethodNotAllowed('GET')
|
||||
else:
|
||||
try:
|
||||
path = '%s/%s' % (STONE_VERSION, uri[len(VIEWER_PREFIX):])
|
||||
extension = os.path.splitext(path) [1]
|
||||
if not extension in MIME_TYPES:
|
||||
mime = 'application/octet-stream'
|
||||
else:
|
||||
mime = MIME_TYPES[extension]
|
||||
|
||||
with stone_assets.open(path) as f:
|
||||
output.AnswerBuffer(f.read(), mime)
|
||||
except:
|
||||
output.SendHttpStatusCode(500)
|
||||
|
||||
|
||||
orthanc.RegisterRestCallback('%s(.*)' % VIEWER_PREFIX, serve_stone_web_viewer)
|
||||
|
||||
|
||||
##
|
||||
## Load the deep learning model
|
||||
##
|
||||
|
||||
import highdicom
|
||||
import io
|
||||
import os
|
||||
import pydicom
|
||||
|
||||
sys.path.append(os.path.join(SCRIPT_DIR, '..'))
|
||||
import model
|
||||
import dicom_sr
|
||||
|
||||
orthanc.LogWarning('Loading the RetinaNet model for mammography')
|
||||
my_retina_net = model.load_retina_net()
|
||||
|
||||
|
||||
##
|
||||
## Install the Orthanc Explorer extension
|
||||
##
|
||||
|
||||
with open(os.path.join(SCRIPT_DIR, 'OrthancExplorer.js'), 'r') as f:
|
||||
orthanc.ExtendOrthancExplorer(f.read())
|
||||
|
||||
def execute_inference(output, uri, **request):
|
||||
if request['method'] != 'POST':
|
||||
output.SendMethodNotAllowed('POST')
|
||||
else:
|
||||
body = json.loads(request['body'])
|
||||
|
||||
f = orthanc.GetDicomForInstance(body['instance'])
|
||||
dicom = pydicom.dcmread(io.BytesIO(f))
|
||||
|
||||
if len(dicom.pixel_array.shape) != 2:
|
||||
orthanc.LogError('Not a graylevel instance: %s' % body['instance'])
|
||||
output.SendHttpStatusCode(400)
|
||||
else:
|
||||
result = dicom_sr.apply(my_retina_net, dicom, minimum_score=0.2)
|
||||
|
||||
with io.BytesIO() as f:
|
||||
pydicom.dcmwrite(f, result)
|
||||
f.seek(0)
|
||||
content = f.read()
|
||||
|
||||
output.AnswerBuffer(orthanc.RestApiPost('/instances', content), 'application/json')
|
||||
|
||||
orthanc.RegisterRestCallback('/mammography-apply', execute_inference)
|
||||
181
model.py
Normal file
181
model.py
Normal file
@ -0,0 +1,181 @@
|
||||
# Orthanc plugin for mammography
|
||||
# Copyright (C) 2024 Edouard Chatzopoulos and Sebastien Jodogne,
|
||||
# ICTEAM UCLouvain, Belgium
|
||||
#
|
||||
# This program is free software: you can redistribute it and/or
|
||||
# modify it under the terms of the GNU Affero General Public License
|
||||
# as published by the Free Software Foundation, either version 3 of
|
||||
# the License, or (at your option) any later version.
|
||||
#
|
||||
# This program is distributed in the hope that it will be useful, but
|
||||
# WITHOUT ANY WARRANTY; without even the implied warranty of
|
||||
# MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU
|
||||
# Affero General Public License for more details.
|
||||
#
|
||||
# You should have received a copy of the GNU Affero General Public License
|
||||
# along with this program. If not, see <http://www.gnu.org/licenses/>.
|
||||
|
||||
|
||||
import download
|
||||
|
||||
import os
|
||||
import numpy as np
|
||||
import torch
|
||||
import torch.nn as nn
|
||||
import torchvision.transforms.v2 as transforms
|
||||
|
||||
from functools import partial
|
||||
from torchvision.models.detection import RetinaNet
|
||||
from torchvision.models.detection.anchor_utils import AnchorGenerator
|
||||
from torchvision.models.detection.backbone_utils import _resnet_fpn_extractor
|
||||
from torchvision.models.detection.retinanet import RetinaNetHead
|
||||
from torchvision.models.resnet import resnet50, ResNet50_Weights
|
||||
from torchvision.ops import FrozenBatchNorm2d
|
||||
from torchvision.ops.feature_pyramid_network import LastLevelP6P7
|
||||
|
||||
|
||||
SCRIPT_DIR = os.path.dirname(os.path.realpath(__file__))
|
||||
MODELS_DIR = os.path.join(SCRIPT_DIR, 'models')
|
||||
|
||||
os.makedirs(MODELS_DIR, exist_ok = True)
|
||||
|
||||
download.get(os.path.join(MODELS_DIR, 'resnet50-11ad3fa6.pth'),
|
||||
'https://orthanc.uclouvain.be/downloads/cross-platform/orthanc-mammography/models/2024-03-08-resnet50-11ad3fa6.pth',
|
||||
102540417, '012571d812f34f8442473d8b827077b5')
|
||||
|
||||
download.get(os.path.join(MODELS_DIR, 'retina_res50_trained_08_03.pth'),
|
||||
'https://orthanc.uclouvain.be/downloads/cross-platform/orthanc-mammography/models/2024-03-08-retina_res50_trained_08_03.pth',
|
||||
145735292, '53aa159ea0b83234d767aacb43619748')
|
||||
|
||||
|
||||
class ResizeBetter:
|
||||
def __init__(self, min_size=1750):
|
||||
self.min_size = min_size
|
||||
|
||||
def __call__(self, sample):
|
||||
shape = sample[0].shape[-2:]
|
||||
return transforms.Resize((self.min_size,int(self.min_size*shape[1]/shape[0])),
|
||||
interpolation=transforms.InterpolationMode.BILINEAR,
|
||||
antialias=True)(sample)
|
||||
|
||||
|
||||
def anchorgen():
|
||||
anchor_sizes = tuple((x, int(x * 2 ** (1.0 / 3)), int(x * 2 ** (2.0 / 3))) for x in [32, 64, 128, 256, 512])
|
||||
aspect_ratios = ((0.5, 1.0, 2.0),) * len(anchor_sizes)
|
||||
anchor_generator = AnchorGenerator(anchor_sizes, aspect_ratios)
|
||||
return anchor_generator
|
||||
|
||||
|
||||
def load_model(config, pretrained_path, mean=0, std=1):
|
||||
if False:
|
||||
# Download backbone from Internet
|
||||
model_backbone = resnet50(norm_layer = FrozenBatchNorm2d,
|
||||
weights=ResNet50_Weights.DEFAULT)
|
||||
else:
|
||||
weights = torch.load(os.path.join(MODELS_DIR, 'resnet50-11ad3fa6.pth'), map_location=torch.device('cpu'))
|
||||
model_backbone = resnet50(norm_layer = FrozenBatchNorm2d)
|
||||
model_backbone.load_state_dict(weights)
|
||||
|
||||
model_backbone.fc = model_backbone.fc = nn.Sequential(
|
||||
nn.Linear(4*512 , config["num_classes"])
|
||||
)
|
||||
|
||||
model_backbone = _resnet_fpn_extractor(model_backbone,
|
||||
config["trainable_backbone_layers"],
|
||||
returned_layers=[2, 3, 4],
|
||||
extra_blocks=LastLevelP6P7(2048, 256))
|
||||
|
||||
anchor_generator = anchorgen()
|
||||
|
||||
head = RetinaNetHead(
|
||||
model_backbone.out_channels,
|
||||
anchor_generator.num_anchors_per_location()[0],
|
||||
config["num_classes"],
|
||||
norm_layer=partial(nn.GroupNorm, 32),
|
||||
)
|
||||
head.regression_head._loss_type = "giou"
|
||||
model = RetinaNet(model_backbone,
|
||||
num_classes=config["num_classes"],
|
||||
anchor_generator=anchor_generator,
|
||||
head=head,
|
||||
min_size=config["min_size"] ,
|
||||
max_size=config["max_size"],
|
||||
image_mean=[mean, mean, mean],
|
||||
image_std=[std, std, std],
|
||||
fg_iou_thresh=config["fg_iou_thresh"],
|
||||
bg_iou_thresh=config["bg_iou_thresh"],
|
||||
nms_thresh=config["nms_thresh"],
|
||||
_skip_resize=True)
|
||||
|
||||
if pretrained_path is not None:
|
||||
state_dict = torch.load(pretrained_path, map_location=torch.device('cpu'))
|
||||
model.load_state_dict(state_dict)
|
||||
print(f"Model loaded from checkpoint {pretrained_path}")
|
||||
|
||||
for layer in model.modules():
|
||||
if isinstance(layer, nn.BatchNorm2d) or isinstance(layer, nn.BatchNorm1d):
|
||||
layer.eval() # Set to evaluation mode
|
||||
layer.weight.requires_grad = False
|
||||
layer.bias.requires_grad = False
|
||||
|
||||
model.eval()
|
||||
return model
|
||||
|
||||
|
||||
def load_retina_net():
|
||||
config = {
|
||||
'num_classes' : 2,
|
||||
'min_size' : 2048,
|
||||
'max_size' : 2048,
|
||||
'trainable_backbone_layers' : 0,
|
||||
'fg_iou_thresh' : 0.5,
|
||||
'bg_iou_thresh' : 0.4,
|
||||
'nms_thresh' : 0.3,
|
||||
}
|
||||
|
||||
return {
|
||||
'min_size' : config['min_size'],
|
||||
'eval' : load_model(config, os.path.join(MODELS_DIR, 'retina_res50_trained_08_03.pth')),
|
||||
}
|
||||
|
||||
|
||||
def dicom_to_tensor(dicom, min_size):
|
||||
assert(len(dicom.pixel_array.shape) == 2)
|
||||
|
||||
#Normalize the value scale to 0-255 (Useful for some processing steps)
|
||||
im_array = np.stack((dicom.pixel_array,)*3, axis=-1)
|
||||
im_max = np.max(im_array)
|
||||
im_min = np.min(im_array)
|
||||
image_tensor = torch.tensor(im_array.astype(np.float32).transpose(2, 0, 1))
|
||||
|
||||
#Resize longest side to 2048 (with same ratio) and normalize
|
||||
image_tensor = ResizeBetter(min_size) (image_tensor)
|
||||
|
||||
std = torch.std(image_tensor)
|
||||
mean = torch.mean(image_tensor)
|
||||
image_tensor = torch.sub(image_tensor, mean )
|
||||
image_tensor = torch.div(image_tensor, std)
|
||||
|
||||
assert(len(image_tensor.shape) == 3)
|
||||
|
||||
return image_tensor
|
||||
|
||||
|
||||
def apply_model_to_dicom(model, dicom, rescale_boxes=True):
|
||||
image_tensor = dicom_to_tensor(dicom, model['min_size'])
|
||||
output = model['eval'] ([ image_tensor ])
|
||||
|
||||
assert(len(output) == 1)
|
||||
output = output[0]
|
||||
|
||||
if rescale_boxes:
|
||||
originalWidth = dicom.pixel_array.shape[1]
|
||||
originalHeight = dicom.pixel_array.shape[0]
|
||||
resizedWidth = image_tensor.shape[2]
|
||||
resizedHeight = image_tensor.shape[1]
|
||||
|
||||
# TODO - The "int()" in ResizeBetter is anisotropic
|
||||
ratio = originalWidth / resizedWidth
|
||||
output['boxes'] *= ratio
|
||||
|
||||
return output
|
||||
7
requirements.txt
Normal file
7
requirements.txt
Normal file
@ -0,0 +1,7 @@
|
||||
highdicom==0.22.0
|
||||
numpy==2.1.0
|
||||
opencv-python==4.10.0.84
|
||||
pydicom==2.4.4
|
||||
torch==2.3.0
|
||||
torchaudio==2.3.0
|
||||
torchvision==0.18.0
|
||||
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sample-images/P_00009_RIGHT_CC.dcm
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sample-images/P_00009_RIGHT_CC.dcm
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sample-images/P_00009_RIGHT_MLO.dcm
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sample-images/P_00021_LEFT_CC.dcm
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sample-images/P_00021_LEFT_CC.dcm
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sample-images/P_00021_LEFT_MLO.dcm
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sample-images/P_00021_LEFT_MLO.dcm
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viewer/2024-03-09-FirstDicomSR.png
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viewer/2024-03-09-FirstDicomSR.png
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After Width: | Height: | Size: 944 KiB |
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viewer/2024-03-15-StoneWebViewer-DICOM-SR.zip
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viewer/2024-03-15-StoneWebViewer-DICOM-SR.zip
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viewer/2024-08-31-StoneWebViewer-DICOM-SR.zip
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viewer/2024-08-31-StoneWebViewer-DICOM-SR.zip
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Reference in New Issue
Block a user