Tests for Category 2

src/tools/lungRads2022/lungRads2022Utils.test.ts

@@ -29,6 +29,36 @@ const emptyInput: LungRads2022Input = {
   suspicious: [],
 }
 
+const solidNoduleInput: LungRads2022Input = {
+  ...emptyInput,
+  problematicExam: "none",
+  benignFeatures: "none",
+  nodule: true,
+  structure: "solid",
+}
+
+const partSolidNoduleInpput: LungRads2022Input = {
+  ...emptyInput,
+  problematicExam: "none",
+  benignFeatures: "none",
+  nodule: true,
+  structure: "partsolid",
+}
+
+const groundGlassNoduleInput: LungRads2022Input = {
+  ...emptyInput,
+  problematicExam: "none",
+  benignFeatures: "none",
+  nodule: true,
+  structure: "groundglass",
+}
+
+const previous3Input: LungRads2022Input = {
+  ...emptyInput,
+  previous: "3",
+  timepoint: "follow-up",
+}
+
 describe("Calculate average diameter", () => {
   it.each([
     [2, 1, 1.5],
@@ -40,6 +70,7 @@ describe("Calculate average diameter", () => {
   })
 })
 
+/** Category 0 */
 describe("Category 0", () => {
   it.each<[Partial<LungRads2022Input>]>([
     [{ problematicExam: "prior-CT-not-available" }],
@@ -52,6 +83,7 @@ describe("Category 0", () => {
   })
 })
 
+/** Category 1 */
 describe("Category 1", () => {
   it("should give correct result for no lung nodules", () => {
     const finalInput: LungRads2022Input = {
@@ -71,3 +103,76 @@ describe("Category 1", () => {
     expect(category).toBe(Category.Category1)
   })
 })
+
+/** Category 2 */
+describe("Category 2", () => {
+  it.each<[Partial<LungRads2022Input>]>([
+    [{ featuresSolid: "smooth-margins", longaxis: 10, shortaxis: 9 }],
+    [{ timepoint: "baseline", featuresSolid: "smooth-margins", longaxis: 10, shortaxis: 9 }],
+    [
+      {
+        timepoint: "follow-up",
+        featuresSolid: "smooth-margins",
+        longaxis: 10,
+        shortaxis: 9,
+        dynamic: "new",
+      },
+    ],
+  ])("should give correct result for juxtapleural nodule", (input) => {
+    const finalInput = { ...solidNoduleInput, ...input }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+
+  it.each<[Partial<LungRads2022Input>]>([
+    [{ timepoint: "baseline", featuresSolid: "none", longaxis: 6, shortaxis: 5 }],
+    [{ timepoint: "follow-up", featuresSolid: "none", longaxis: 4, shortaxis: 3, dynamic: "new" }],
+  ])("should give correct result for small solid nodules", (input) => {
+    const finalInput = { ...solidNoduleInput, ...input }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+
+  it("should give correct result for small part solid nodules", () => {
+    const finalInput: LungRads2022Input = {
+      ...partSolidNoduleInpput,
+      timepoint: "baseline",
+      longaxis: 6,
+      shortaxis: 5,
+    }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+
+  it.each<[Partial<LungRads2022Input>]>([
+    [{ timepoint: "baseline", longaxis: 30, shortaxis: 29 }],
+    [{ timepoint: "follow-up", longaxis: 30, shortaxis: 29, dynamic: "new" }],
+    [{ timepoint: "follow-up", longaxis: 30, shortaxis: 29, dynamic: "growing" }],
+    [{ timepoint: "follow-up", longaxis: 30, shortaxis: 30, dynamic: "slowlyGrowing" }],
+    [{ timepoint: "follow-up", longaxis: 30, shortaxis: 30, dynamic: "stable" }],
+  ])("should give correct result for GGN nodules", (input) => {
+    const finalInput = { ...groundGlassNoduleInput, ...input }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+
+  it.each<[Partial<LungRads2022Input>]>([
+    [{ timepoint: "baseline", featuresSolid: "subsegmental-airway" }],
+    [{ timepoint: "follow-up", featuresSolid: "subsegmental-airway", dynamic: "new" }],
+    [{ timepoint: "follow-up", featuresSolid: "subsegmental-airway", dynamic: "stable" }],
+  ])("should give correct result for subsegmental airway nodule", (input) => {
+    const finalInput = { ...solidNoduleInput, ...input }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+
+  it.each<[Partial<LungRads2022Input>]>([
+    [{ nodule: true, dynamic: "stable", timeOfDynamicNodule: 4 }],
+    [{ cyst: true, dynamicMultilocular: "stable", timeOfDynamicCyst: 4 }],
+    [{ cyst: true, dynamicUnilocular: "stable", timeOfDynamicCyst: 4 }],
+  ])("should give correct result for stable lesion", (input) => {
+    const finalInput = { ...previous3Input, ...input }
+    const category = defineLungRads2022(finalInput)
+    expect(category).toBe(Category.Category2)
+  })
+})

src/tools/lungRads2022/lungRads2022Utils.ts

@@ -78,6 +78,7 @@ export const defineLungRads2022 = ({
     if (benignFeatures === "calcification" || benignFeatures === "fat") {
       category = Category.Category1
     } else if (
+      structure === "solid" &&
       featuresSolid === "smooth-margins" &&
       averageDiameter !== null &&
       averageDiameter < 10
@@ -211,6 +212,9 @@ export const defineLungRads2022 = ({
   if (
     previous === "3" &&
     timepoint === "follow-up" &&
+    featuresSolid !== "segmental-airway" &&
+    featuresSolid !== "subsegmental-airway" &&
+    structure !== "groundglass" &&
     (dynamic === "stable" || dynamicUnilocular === "stable" || dynamicMultilocular === "stable")
   ) {
     if (
@@ -305,4 +309,5 @@ export const giveLungRads2022Recommendation = (
 /**
  * TODO:
  * - S Modifier in Utils
+ * - 4B lesion proven to be benign
  */