fix: Add SRPoint and SRRectangleROI sub-types

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

@@ -511,6 +511,10 @@ function _processTID1410Measurement(mergedContentSequence) {
 
   const NUMContentItems = mergedContentSequence.filter(group => group.ValueType === 'NUM');
 
+  const finding = mergedContentSequence.find(
+    item => item.ConceptNameCodeSequence?.CodeValue === CodeNameCodeSequenceValues.Finding
+  );
+
   const { ConceptNameCodeSequence: conceptNameItem } = graphicItem;
   const { CodeValue: graphicValue, CodingSchemeDesignator: graphicDesignator } = conceptNameItem;
   const graphicCode = `${graphicDesignator}:${graphicValue}`;
@@ -547,12 +551,18 @@ function _processTID1410Measurement(mergedContentSequence) {
       item.ConceptNameCodeSequence.CodeValue === CodeNameCodeSequenceValues.FindingSiteSCT
   );
   if (findingSites.length) {
+    const siteItem = findingSites[0];
+    const conceptName = siteItem.ConceptNameCodeSequence;
     measurement.labels.push({
-      label: CodeNameCodeSequenceValues.FindingSiteSCT,
-      value: findingSites[0].ConceptCodeSequence.CodeMeaning,
+      label: conceptName?.CodeMeaning || 'Finding Site',
+      value: siteItem.ConceptCodeSequence.CodeMeaning,
     });
   }
 
+  const measurementWithFinding = measurement as Record<string, unknown>;
+  measurementWithFinding.srFinding = finding?.ConceptCodeSequence;
+  measurementWithFinding.srFindingSites = findingSites.map(fs => fs.ConceptCodeSequence).filter(Boolean);
+
   return measurement;
 }
 
@@ -660,6 +670,10 @@ function _processNonGeometricallyDefinedMeasurement(mergedContentSequence) {
     }
   });
 
+  const measurementWithFinding = measurement as Record<string, unknown>;
+  measurementWithFinding.srFinding = finding?.ConceptCodeSequence;
+  measurementWithFinding.srFindingSites = findingSites.map(fs => fs.ConceptCodeSequence).filter(Boolean);
+
   return measurement;
 }
 

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

@@ -1,4 +1,5 @@
 import {
+  addTool,
   AngleTool,
   annotation,
   ArrowAnnotateTool,
@@ -15,6 +16,8 @@ import { Types } from '@ohif/core';
 import DICOMSRDisplayTool from './tools/DICOMSRDisplayTool';
 import addToolInstance from './utils/addToolInstance';
 import toolNames from './tools/toolNames';
+import SRPointTool from './tools/SRPointTool';
+import { getSRRectangleROITextLines } from './utils/srToolGetTextLines';
 
 /**
  * @param {object} configuration
@@ -31,17 +34,22 @@ export default function init({
   addToolInstance(toolNames.SRArrowAnnotate, ArrowAnnotateTool);
   addToolInstance(toolNames.SRAngle, AngleTool);
   addToolInstance(toolNames.SRPlanarFreehandROI, PlanarFreehandROITool);
-  addToolInstance(toolNames.SRRectangleROI, RectangleROITool);
 
-  // TODO - fix the SR display of Cobb Angle, as it joins the two lines
+  /** SR subtypes: show label (e.g. Lesion) instead of intensity/stats */
+  addTool(SRPointTool);
+  addToolInstance(toolNames.SRRectangleROI, RectangleROITool, {
+    getTextLines: getSRRectangleROITextLines,
+  });
+
+  /** TODO - fix the SR display of Cobb Angle, as it joins the two lines */
   addToolInstance(toolNames.SRCobbAngle, CobbAngleTool);
 
-  // Modify annotation tools to use dashed lines on SR
   const dashedLine = {
     lineDash: '4,4',
   };
   annotation.config.style.setToolGroupToolStyles('SRToolGroup', {
     [toolNames.DICOMSRDisplay]: dashedLine,
+    [toolNames.SRPoint]: dashedLine,
     SRLength: dashedLine,
     SRBidirectional: dashedLine,
     SREllipticalROI: dashedLine,

extensions/cornerstone-dicom-sr/src/tools/DICOMSRDisplayTool.ts

@@ -25,12 +25,29 @@ export default class DICOMSRDisplayTool extends AnnotationTool {
   _getTextBoxLinesFromLabels(labels) {
     // TODO -> max 5 for now (label + shortAxis + longAxis), need a generic solution for this!
 
+    if (!labels?.length) {
+      return [];
+    }
+
     const labelLength = Math.min(labels.length, 5);
     const lines = [];
 
     for (let i = 0; i < labelLength; i++) {
       const labelEntry = labels[i];
-      lines.push(`${_labelToShorthand(labelEntry.label)}: ${labelEntry.value}`);
+      const shorthand = _labelToShorthand(labelEntry.label);
+      const value = labelEntry.value ?? '';
+
+      /** 
+       * Empty shorthand (CORNERSTONEFREETEXT, Length, etc.): show value only — avoids ": text" or
+       * "363698007: site" when label was a raw code (fixed at source for finding site).
+       */
+      if (shorthand === '' && value !== '') {
+        lines.push(String(value));
+      } else if (shorthand === '') {
+        continue;
+      } else {
+        lines.push(`${shorthand}: ${value}`);
+      }
     }
 
     return lines;
@@ -225,55 +242,41 @@ export default class DICOMSRDisplayTool extends AnnotationTool {
     options
   ) {
     const canvasCoordinates = [];
+    const crossSize = 6;
+
     renderableData.map((data, index) => {
       const point = data[0];
-      // This gives us one point for arrow
+      const [canvasX, canvasY] = viewport.worldToCanvas(point);
       canvasCoordinates.push(viewport.worldToCanvas(point));
 
       if (data[1] !== undefined) {
         canvasCoordinates.push(viewport.worldToCanvas(data[1]));
+        drawing.drawArrow(
+          svgDrawingHelper,
+          annotationUID,
+          `arrow-${index}`,
+          canvasCoordinates[canvasCoordinates.length - 1],
+          canvasCoordinates[canvasCoordinates.length - 2],
+          { color: options.color, width: options.lineWidth }
+        );
+      } else {
+        const cx = Number(canvasX);
+        const cy = Number(canvasY);
+        const crossPaths = [
+          [[cx, cy - crossSize], [cx, cy + crossSize]],
+          [[cx - crossSize, cy], [cx + crossSize, cy]],
+        ];
+        drawing.drawPath(
+          svgDrawingHelper,
+          annotationUID,
+          `cross-${index}`,
+          crossPaths,
+          { color: options.color, lineWidth: options.lineWidth || 2 }
+        );
       }
-      else{
-         // We get the other point for the arrow by using the image size
-      const imagePixelModule = metaData.get('imagePixelModule', referencedImageId);
-
-      let xOffset = 10;
-      let yOffset = 10;
-
-      if (imagePixelModule) {
-        const { columns, rows } = imagePixelModule;
-        xOffset = columns / 10;
-        yOffset = rows / 10;
-      }
-
-      const imagePoint = csUtils.worldToImageCoords(referencedImageId, point);
-      const arrowEnd = csUtils.imageToWorldCoords(referencedImageId, [
-        imagePoint[0] + xOffset,
-        imagePoint[1] + yOffset,
-      ]);
-
-      canvasCoordinates.push(viewport.worldToCanvas(arrowEnd));
-
-      }
-
-
-      const arrowUID = `${index}`;
-
-      // Todo: handle drawing probe as probe, currently we are drawing it as an arrow
-      drawing.drawArrow(
-        svgDrawingHelper,
-        annotationUID,
-        arrowUID,
-        canvasCoordinates[1],
-        canvasCoordinates[0],
-        {
-          color: options.color,
-          width: options.lineWidth,
-        }
-      );
     });
 
-    return canvasCoordinates; // used for drawing textBox
+    return canvasCoordinates;
   }
 
   renderEllipse(
@@ -343,15 +346,19 @@ export default class DICOMSRDisplayTool extends AnnotationTool {
     }
 
     const { annotationUID, data = {} } = annotation;
-    const { labels } = data;
+    const { labels, label } = data;
     const { color } = options;
 
     let adaptedCanvasCoordinates = canvasCoordinates;
-    // adapt coordinates if there is an adapter
+
     if (typeof canvasCoordinatesAdapter === 'function') {
       adaptedCanvasCoordinates = canvasCoordinatesAdapter(canvasCoordinates);
     }
-    const textLines = this._getTextBoxLinesFromLabels(labels);
+
+    const textLines =
+      typeof label === 'string' && label.length > 0
+        ? [label]
+        : this._getTextBoxLinesFromLabels(labels);
     const canvasTextBoxCoords = utilities.drawing.getTextBoxCoordsCanvas(adaptedCanvasCoordinates);
 
     if (!annotation.data?.handles?.textBox?.worldPosition) {
@@ -374,6 +381,7 @@ export default class DICOMSRDisplayTool extends AnnotationTool {
       {
         ...textBoxOptions,
         color,
+        padding: textBoxOptions.padding ?? 6,
       }
     );
 

extensions/cornerstone-dicom-sr/src/tools/SRPointTool.ts

@@ -0,0 +1,118 @@
+import type { Types } from '@cornerstonejs/core';
+import { ProbeTool, drawing, annotation } from '@cornerstonejs/tools';
+
+import type { SVGDrawingHelper } from '@cornerstonejs/tools';
+import type { StyleSpecifier } from '@cornerstonejs/tools';
+import type { ProbeAnnotation } from '@cornerstonejs/tools';
+
+import { getSRPointTextLines } from '../utils/srToolGetTextLines';
+
+const { drawPath, drawTextBox } = drawing;
+const { getAnnotations } = annotation.state;
+const { isAnnotationVisible } = annotation.visibility;
+
+const CROSS_SIZE = 6;
+
+/**
+ * SRPoint: sub-type of Probe for hydrated DICOM SR SCOORD/SCOORD3D points.
+ * Renders a cross (plus) marker per medical imaging convention;
+ * shows label only, no intensity/coordinates.
+ */
+class SRPointTool extends ProbeTool {
+  static toolName = 'SRPoint';
+
+  constructor(toolProps, defaultToolProps) {
+    super(toolProps, {
+      ...defaultToolProps,
+      configuration: {
+        ...defaultToolProps?.configuration,
+        getTextLines: getSRPointTextLines,
+        handleRadius: 6,
+        textCanvasOffset: { x: 4, y: 4 },
+      },
+    });
+  }
+
+  renderAnnotation = (
+    enabledElement: Types.IEnabledElement,
+    svgDrawingHelper: SVGDrawingHelper
+  ): boolean => {
+    let renderStatus = false;
+    const { viewport } = enabledElement;
+    const { element } = viewport;
+
+    const annotations = getAnnotations(this.getToolName(), element) as ProbeAnnotation[];
+    if (!annotations?.length) {
+      return renderStatus;
+    }
+
+    const filteredAnnotations = this.filterInteractableAnnotationsForElement(
+      element,
+      annotations
+    );
+    if (!filteredAnnotations?.length) {
+      return renderStatus;
+    }
+
+    const styleSpecifier: StyleSpecifier = {
+      toolGroupId: this.toolGroupId,
+      toolName: this.getToolName(),
+      viewportId: enabledElement.viewport.id,
+    };
+
+    for (const annotation of filteredAnnotations) {
+      const annotationUID = annotation.annotationUID;
+      const data = annotation.data;
+      const point = data.handles.points[0];
+      const [canvasX, canvasY] = viewport.worldToCanvas(point);
+
+      if (!isAnnotationVisible(annotationUID)) {
+        continue;
+      }
+
+      styleSpecifier.annotationUID = annotationUID;
+      const { color, lineWidth } = this.getAnnotationStyle({
+        annotation,
+        styleSpecifier,
+      });
+
+      const size = Number(this.configuration?.handleRadius) || CROSS_SIZE;
+      const cx = Number(canvasX);
+      const cy = Number(canvasY);
+      const crossPaths: [number, number][][] = [
+        [[cx, cy - size], [cx, cy + size]],
+        [[cx - size, cy], [cx + size, cy]],
+      ];
+      drawPath(svgDrawingHelper, annotationUID, 'cross', crossPaths, {
+        color,
+        lineWidth: lineWidth || 2,
+      });
+
+      renderStatus = true;
+
+      const options = this.getLinkedTextBoxStyle(styleSpecifier, annotation);
+      if (options?.visibility !== false) {
+        const targetId = this.getTargetId(viewport, data);
+        const textLines = getSRPointTextLines(data, targetId);
+        if (textLines?.length) {
+          const textCanvasCoordinates = [
+            cx + (this.configuration?.textCanvasOffset?.x ?? 4),
+            cy + (this.configuration?.textCanvasOffset?.y ?? 4),
+          ];
+          drawTextBox(
+            svgDrawingHelper,
+            annotationUID,
+            '0',
+            textLines,
+            [textCanvasCoordinates[0], textCanvasCoordinates[1]],
+            { ...options, padding: options.padding ?? 4 }
+          );
+        }
+      }
+    }
+
+    return renderStatus;
+  };
+}
+
+export default SRPointTool;

extensions/cornerstone-dicom-sr/src/tools/toolNames.ts

@@ -9,6 +9,7 @@ const toolNames = {
   SRCobbAngle: 'SRCobbAngle',
   SRRectangleROI: 'SRRectangleROI',
   SRPlanarFreehandROI: 'SRPlanarFreehandROI',
+  SRPoint: 'SRPoint',
 };
 
 export default toolNames;