# smartheal_ai_processor.py # Fully functional: robust segmentation + safe overlays + conditional GPU wrapper. # All original class/function names preserved. New helpers are additive. import os import time import logging from datetime import datetime from typing import Optional, Dict, List, Tuple # --- quiet tokenizers fork warning (HF) --- os.environ.setdefault("TOKENIZERS_PARALLELISM", "false") import cv2 import numpy as np from PIL import Image, ImageOps from PIL.ExifTags import TAGS logging.basicConfig(level=logging.INFO, format="%(asctime)s - %(levelname)s - %(message)s") UPLOADS_DIR = "uploads" os.makedirs(UPLOADS_DIR, exist_ok=True) HF_TOKEN = os.getenv("HF_TOKEN", None) YOLO_MODEL_PATH = "src/best.pt" SEG_MODEL_PATH = "src/segmentation_model.h5" # optional GUIDELINE_PDFS = ["src/eHealth in Wound Care.pdf", "src/IWGDF Guideline.pdf", "src/evaluation.pdf"] DATASET_ID = "SmartHeal/wound-image-uploads" DEFAULT_PX_PER_CM = 38.0 # fallback when we cannot calibrate PX_PER_CM_MIN, PX_PER_CM_MAX = 5.0, 1200.0 # sanity bounds models_cache: Dict[str, object] = {} knowledge_base_cache: Dict[str, object] = {} # ---------- Lazy imports ---------- def _import_ultralytics(): from ultralytics import YOLO return YOLO def _import_tf_loader(): import tensorflow as tf tf.config.set_visible_devices([], "GPU") # force CPU for TF to avoid CUDA contention from tensorflow.keras.models import load_model return load_model def _import_hf_cls(): from transformers import pipeline return pipeline def _import_embeddings(): from langchain_community.embeddings import HuggingFaceEmbeddings return HuggingFaceEmbeddings def _import_langchain_pdf(): from langchain_community.document_loaders import PyPDFLoader return PyPDFLoader def _import_langchain_faiss(): from langchain_community.vectorstores import FAISS return FAISS def _import_hf_hub(): from huggingface_hub import HfApi, HfFolder return HfApi, HfFolder # ---------- Conditional Spaces GPU function ---------- # Avoid scheduling a GPU worker when CUDA is not available (prevents cudaGetDeviceCount crash) def _cuda_available() -> bool: try: import torch return bool(getattr(torch, "cuda", None)) and torch.cuda.is_available() except Exception: return False def _generate_medgemma_report_core( patient_info: str, visual_results: Dict, guideline_context: str, image_pil: Image.Image, max_new_tokens: Optional[int] = None, ) -> str: try: from transformers import pipeline # Use CPU by default; if CUDA truly available, pipeline can still map automatically pipe = pipeline( "image-text-to-text", model="google/medgemma-4b-it", device_map="auto" if _cuda_available() else None, token=HF_TOKEN, model_kwargs={"low_cpu_mem_usage": True, "use_cache": True}, ) prompt = ( "You are a medical AI assistant. Analyze this wound image and patient data.\n\n" f"Patient: {patient_info}\n" f"Wound: {visual_results.get('wound_type', 'Unknown')} - " f"{visual_results.get('length_cm', 0)}×{visual_results.get('breadth_cm', 0)} cm\n\n" "Provide a structured report with:\n" "1. Clinical Summary\n2. Treatment Recommendations\n3. Risk Assessment\n4. Monitoring Plan\n" ) messages = [{"role": "user", "content": [ {"type": "image", "image": image_pil}, {"type": "text", "text": prompt}, ]}] t0 = time.time() out = pipe( text=messages, max_new_tokens=max_new_tokens or 800, do_sample=False, temperature=0.7, ) logging.info(f"✅ MedGemma finished in {time.time()-t0:.2f}s") if out and len(out) > 0: try: return out[0]["generated_text"][-1].get("content", "").strip() or "⚠️ Empty response" except Exception: return (out[0].get("generated_text", "") or "").strip() or "⚠️ Empty response" return "⚠️ No output generated" except Exception as e: logging.error(f"❌ MedGemma generation error: {e}") return "⚠️ GPU/LLM worker unavailable" # Preserve the SAME public function name. # Only decorate with @spaces.GPU if CUDA is truly available. try: import spaces if _cuda_available(): @spaces.GPU(enable_queue=True, duration=90) def generate_medgemma_report( patient_info: str, visual_results: Dict, guideline_context: str, image_pil: Image.Image, max_new_tokens: Optional[int] = None, ) -> str: return _generate_medgemma_report_core(patient_info, visual_results, guideline_context, image_pil, max_new_tokens) else: def generate_medgemma_report( patient_info: str, visual_results: Dict, guideline_context: str, image_pil: Image.Image, max_new_tokens: Optional[int] = None, ) -> str: # no decorator -> no GPU worker init -> no cudaGetDeviceCount crash return _generate_medgemma_report_core(patient_info, visual_results, guideline_context, image_pil, max_new_tokens) except Exception: def generate_medgemma_report( patient_info: str, visual_results: Dict, guideline_context: str, image_pil: Image.Image, max_new_tokens: Optional[int] = None, ) -> str: return _generate_medgemma_report_core(patient_info, visual_results, guideline_context, image_pil, max_new_tokens) # ---------- Initialize CPU models ---------- def load_yolo_model(): YOLO = _import_ultralytics() return YOLO(YOLO_MODEL_PATH) def load_segmentation_model(): load_model = _import_tf_loader() return load_model(SEG_MODEL_PATH, compile=False) def load_classification_pipeline(): pipe = _import_hf_cls() return pipe("image-classification", model="Hemg/Wound-classification", token=HF_TOKEN, device="cpu") def load_embedding_model(): Emb = _import_embeddings() return Emb(model_name="sentence-transformers/all-MiniLM-L6-v2", model_kwargs={"device": "cpu"}) def initialize_cpu_models() -> None: if HF_TOKEN: try: HfApi, HfFolder = _import_hf_hub() HfFolder.save_token(HF_TOKEN) logging.info("✅ HF token set") except Exception as e: logging.warning(f"HF token save failed: {e}") if "det" not in models_cache: try: models_cache["det"] = load_yolo_model() logging.info("✅ YOLO loaded (CPU)") except Exception as e: logging.error(f"YOLO load failed: {e}") if "seg" not in models_cache: try: if os.path.exists(SEG_MODEL_PATH): models_cache["seg"] = load_segmentation_model() logging.info("✅ Segmentation model loaded (CPU)") else: models_cache["seg"] = None logging.warning("Segmentation model file missing; skipping.") except Exception as e: models_cache["seg"] = None logging.warning(f"Segmentation unavailable: {e}") if "cls" not in models_cache: try: models_cache["cls"] = load_classification_pipeline() logging.info("✅ Classifier loaded (CPU)") except Exception as e: models_cache["cls"] = None logging.warning(f"Classifier unavailable: {e}") if "embedding_model" not in models_cache: try: models_cache["embedding_model"] = load_embedding_model() logging.info("✅ Embeddings loaded (CPU)") except Exception as e: models_cache["embedding_model"] = None logging.warning(f"Embeddings unavailable: {e}") def setup_knowledge_base() -> None: if "vector_store" in knowledge_base_cache: return docs: List = [] try: PyPDFLoader = _import_langchain_pdf() for pdf in GUIDELINE_PDFS: if os.path.exists(pdf): try: docs.extend(PyPDFLoader(pdf).load()) logging.info(f"Loaded PDF: {pdf}") except Exception as e: logging.warning(f"PDF load failed ({pdf}): {e}") except Exception as e: logging.warning(f"LangChain PDF loader unavailable: {e}") if docs and models_cache.get("embedding_model"): try: from langchain.text_splitter import RecursiveCharacterTextSplitter FAISS = _import_langchain_faiss() chunks = RecursiveCharacterTextSplitter(chunk_size=1000, chunk_overlap=100).split_documents(docs) knowledge_base_cache["vector_store"] = FAISS.from_documents(chunks, models_cache["embedding_model"]) logging.info(f"✅ Knowledge base ready ({len(chunks)} chunks)") except Exception as e: knowledge_base_cache["vector_store"] = None logging.warning(f"KB build failed: {e}") else: knowledge_base_cache["vector_store"] = None logging.warning("KB disabled (no docs or embeddings).") initialize_cpu_models() setup_knowledge_base() # ---------- Calibration helpers ---------- def _exif_to_dict(pil_img: Image.Image) -> Dict[str, object]: out = {} try: exif = pil_img.getexif() if not exif: return out for k, v in exif.items(): tag = TAGS.get(k, k) out[tag] = v except Exception: pass return out def _to_float(val) -> Optional[float]: try: if val is None: return None if isinstance(val, tuple) and len(val) == 2: num, den = float(val[0]), float(val[1]) if float(val[1]) != 0 else 1.0 return num / den return float(val) except Exception: return None def _estimate_sensor_width_mm(f_mm: Optional[float], f35: Optional[float]) -> Optional[float]: if f_mm and f35 and f35 > 0: return 36.0 * f_mm / f35 return None def estimate_px_per_cm_from_exif(pil_img: Image.Image, default_px_per_cm: float = DEFAULT_PX_PER_CM) -> Tuple[float, Dict]: meta = {"used": "default", "f_mm": None, "f35": None, "sensor_w_mm": None, "distance_m": None} try: exif = _exif_to_dict(pil_img) f_mm = _to_float(exif.get("FocalLength")) f35 = _to_float(exif.get("FocalLengthIn35mmFilm") or exif.get("FocalLengthIn35mm")) subj_dist_m = _to_float(exif.get("SubjectDistance")) sensor_w_mm = _estimate_sensor_width_mm(f_mm, f35) meta.update({"f_mm": f_mm, "f35": f35, "sensor_w_mm": sensor_w_mm, "distance_m": subj_dist_m}) if f_mm and sensor_w_mm and subj_dist_m and subj_dist_m > 0: w_px = pil_img.width field_w_mm = sensor_w_mm * (subj_dist_m * 1000.0) / f_mm field_w_cm = field_w_mm / 10.0 px_per_cm = w_px / max(field_w_cm, 1e-6) px_per_cm = float(np.clip(px_per_cm, PX_PER_CM_MIN, PX_PER_CM_MAX)) meta["used"] = "exif" return px_per_cm, meta return float(default_px_per_cm), meta except Exception: return float(default_px_per_cm), meta # ---------- Segmentation helpers (additive; names preserved elsewhere) ---------- def _get_seg_hw(seg_model) -> Tuple[int, int]: shp = getattr(seg_model, "input_shape", None) if shp and len(shp) >= 4: return int(shp[1]), int(shp[2]) # try Keras .inputs shape try: shp = seg_model.inputs[0].shape return int(shp[1]), int(shp[2]) except Exception: pass raise ValueError(f"Cannot infer (H,W) from segmentation model input shape: {shp}") def _to_prob(mask_pred: np.ndarray) -> np.ndarray: m = np.array(mask_pred) # squeeze batch/channel dims while m.ndim > 2: if m.shape[0] == 1: m = np.squeeze(m, axis=0) if m.ndim > 2 and m.shape[-1] == 1: m = np.squeeze(m, axis=-1) if m.ndim == 3 and m.shape[-1] > 1: # pick the most active channel ch = np.argmax(m.reshape(-1, m.shape[-1]).mean(0)) m = m[..., ch] if m.ndim <= 2: break m = m.astype("float32") # if looks like logits -> sigmoid if m.max() > 1.5 or m.min() < -0.5: m = 1.0 / (1.0 + np.exp(-m)) return np.clip(m, 0.0, 1.0) def _adaptive_threshold(prob: np.ndarray, hard: float = 0.5) -> np.ndarray: if (prob >= hard).sum() > 0: return (prob >= hard).astype("uint8") # try Otsu m8 = (np.clip(prob, 0, 1) * 255).astype("uint8") try: # we only need the threshold value _ _, _ = cv2.threshold(m8, 0, 255, cv2.THRESH_BINARY + cv2.THRESH_OTSU) return (m8 >= _).astype("uint8") except Exception: p = float(np.percentile(prob, 99.0)) return (prob >= max(0.2, min(0.9, p))).astype("uint8") def largest_component_mask(binary: np.ndarray, min_area_px: int = 50) -> np.ndarray: num, labels, stats, _ = cv2.connectedComponentsWithStats(binary.astype(np.uint8), connectivity=8) if num <= 1: return binary.astype(np.uint8) areas = stats[1:, cv2.CC_STAT_AREA] if areas.size == 0 or areas.max() < min_area_px: return binary.astype(np.uint8) largest_idx = 1 + int(np.argmax(areas)) return (labels == largest_idx).astype(np.uint8) def measure_min_area_rect(mask: np.ndarray, px_per_cm: float) -> Tuple[float, float, Tuple]: contours, _ = cv2.findContours(mask.astype(np.uint8), cv2.RETR_EXTERNAL, cv2.CHAIN_APPROX_SIMPLE) if not contours: return 0.0, 0.0, (None, None) cnt = max(contours, key=cv2.contourArea) rect = cv2.minAreaRect(cnt) (w_px, h_px) = rect[1] length_px, breadth_px = (max(w_px, h_px), min(w_px, h_px)) length_cm = round(length_px / max(px_per_cm, 1e-6), 2) breadth_cm = round(breadth_px / max(px_per_cm, 1e-6), 2) box = cv2.boxPoints(rect).astype(int) return length_cm, breadth_cm, (box, rect[0]) def count_area_cm2(mask: np.ndarray, px_per_cm: float) -> float: px_count = float(mask.astype(bool).sum()) return round(px_count / (max(px_per_cm, 1e-6) ** 2), 2) def draw_measurement_overlay( base_bgr: np.ndarray, mask01: np.ndarray, rect_box: np.ndarray, length_cm: float, breadth_cm: float, thickness: int = 2 ) -> np.ndarray: overlay = base_bgr.copy() # safe blend: blend once, then gate with mask (no mask kwarg!) colored = np.zeros_like(base_bgr); colored[:] = (0, 0, 255) blended = cv2.addWeighted(overlay, 1.0, colored, 0.3, 0) m3 = np.dstack([mask01 * 255] * 3).astype("uint8") blended_masked = cv2.bitwise_and(blended, m3) bg = cv2.bitwise_and(overlay, cv2.bitwise_not(m3)) overlay = cv2.add(bg, blended_masked) if rect_box is not None: cv2.polylines(overlay, [rect_box], True, (255, 255, 255), thickness) pts = rect_box.reshape(-1, 2) def midpoint(a, b): return ((a[0] + b[0]) // 2, (a[1] + b[1]) // 2) mids = [midpoint(pts[i], pts[(i+1) % 4]) for i in range(4)] e_lens = [np.linalg.norm(pts[i] - pts[(i+1) % 4]) for i in range(4)] long_pair = (0, 2) if e_lens[0] + e_lens[2] >= e_lens[1] + e_lens[3] else (1, 3) short_pair = (1, 3) if long_pair == (0, 2) else (0, 2) def draw_arrow(img, p1, p2): cv2.arrowedLine(img, p1, p2, (0, 0, 0), thickness + 2, tipLength=0.05) cv2.arrowedLine(img, p2, p1, (0, 0, 0), thickness + 2, tipLength=0.05) cv2.arrowedLine(img, p1, p2, (255, 255, 255), thickness, tipLength=0.05) cv2.arrowedLine(img, p2, p1, (255, 255, 255), thickness, tipLength=0.05) draw_arrow(overlay, mids[long_pair[0]], mids[long_pair[1]]) draw_arrow(overlay, mids[short_pair[0]], mids[short_pair[1]]) def put_label(text, org): cv2.putText(overlay, text, (org[0] + 4, org[1] - 4), cv2.FONT_HERSHEY_SIMPLEX, 0.7, (0, 0, 0), 4, cv2.LINE_AA) cv2.putText(overlay, text, (org[0] + 4, org[1] - 4), cv2.FONT_HERSHEY_SIMPLEX, 0.7, (255, 255, 255), 2, cv2.LINE_AA) put_label(f"{length_cm:.2f} cm", mids[long_pair[0]]) put_label(f"{breadth_cm:.2f} cm", mids[short_pair[0]]) return overlay # ---------- AI PROCESSOR ---------- class AIProcessor: def __init__(self): self.models_cache = models_cache self.knowledge_base_cache = knowledge_base_cache self.uploads_dir = UPLOADS_DIR self.dataset_id = DATASET_ID self.hf_token = HF_TOKEN def _ensure_analysis_dir(self) -> str: out_dir = os.path.join(self.uploads_dir, "analysis") os.makedirs(out_dir, exist_ok=True) return out_dir def perform_visual_analysis(self, image_pil: Image.Image) -> Dict: """ Detect → crop ROI → (optional) segment → cleanup → largest component → oriented minAreaRect in cm (EXIF-calibrated) → save original/detect/seg/annotated. """ try: # --- Auto calibration from EXIF --- px_per_cm, exif_meta = estimate_px_per_cm_from_exif(image_pil, DEFAULT_PX_PER_CM) # Convert PIL to OpenCV BGR image_cv = cv2.cvtColor(np.array(image_pil.convert("RGB")), cv2.COLOR_RGB2BGR) # --- Detection (YOLO) --- det_model = self.models_cache.get("det") if det_model is None: raise RuntimeError("YOLO model not loaded") results = det_model.predict(image_cv, verbose=False, device="cpu") if not results or not getattr(results[0], "boxes", None) or len(results[0].boxes) == 0: import gradio as gr # local import to keep class name intact if gradio missing raise gr.Error("No wound could be detected.") box = results[0].boxes[0].xyxy[0].cpu().numpy().astype(int) x1, y1, x2, y2 = [int(v) for v in box] x1, y1 = max(0, x1), max(0, y1) x2, y2 = min(image_cv.shape[1], x2), min(image_cv.shape[0], y2) roi = image_cv[y1:y2, x1:x2].copy() if roi.size == 0: import gradio as gr raise gr.Error("Detected ROI is empty.") # --- Segmentation (robust) --- seg_model = self.models_cache.get("seg") mask_roi_01 = None if seg_model is not None: try: H, W = _get_seg_hw(seg_model) # robust (H,W) resized = cv2.resize(roi, (W, H)) # cv2.resize expects (W,H) pred = seg_model.predict(np.expand_dims(resized / 255.0, 0), verbose=0) prob = _to_prob(pred) # (H,W) in [0,1] binmask = _adaptive_threshold(prob, hard=0.5) # gentle cleanup + largest component binmask = cv2.morphologyEx(binmask, cv2.MORPH_OPEN, np.ones((3,3), np.uint8), iterations=1) binmask = cv2.morphologyEx(binmask, cv2.MORPH_CLOSE, np.ones((3,3), np.uint8), iterations=1) binmask = largest_component_mask(binmask, min_area_px=30) # back to ROI size {0,1} mask_roi_01 = cv2.resize(binmask, (roi.shape[1], roi.shape[0]), interpolation=cv2.INTER_NEAREST).astype(np.uint8) logging.info(f"seg prob stats: min={prob.min():.4f}, max={prob.max():.4f}, mean={prob.mean():.4f}; on={(mask_roi_01==1).sum()}") except Exception as e: logging.warning(f"Segmentation failed: {e}") mask_roi_01 = None else: logging.info("Skipping segmentation (no model).") # --- Measurement --- if mask_roi_01 is not None and mask_roi_01.any(): length_cm, breadth_cm, (box_pts, _) = measure_min_area_rect(mask_roi_01, px_per_cm) surface_area_cm2 = count_area_cm2(mask_roi_01, px_per_cm) anno_roi = draw_measurement_overlay(roi, mask_roi_01, box_pts, length_cm, breadth_cm) else: # fallback to detection-box cm h_px = max(0, y2 - y1); w_px = max(0, x2 - x1) length_cm = round(h_px / px_per_cm, 2) breadth_cm = round(w_px / px_per_cm, 2) surface_area_cm2 = round((h_px * w_px) / (px_per_cm ** 2), 2) anno_roi = roi.copy() # --- Save visualizations --- out_dir = self._ensure_analysis_dir() ts = datetime.now().strftime("%Y%m%d_%H%M%S") original_path = os.path.join(out_dir, f"original_{ts}.png") cv2.imwrite(original_path, image_cv) det_vis = image_cv.copy() cv2.rectangle(det_vis, (x1, y1), (x2, y2), (0, 255, 0), 2) detection_path = os.path.join(out_dir, f"detection_{ts}.png") cv2.imwrite(detection_path, det_vis) segmentation_path = None annotated_seg_path = None if mask_roi_01 is not None and mask_roi_01.any(): # safe masked blend (no mask kwarg to addWeighted) seg_full = image_cv.copy() roi_overlay = roi.copy() red = np.zeros_like(roi_overlay); red[:] = (0, 0, 255) blended = cv2.addWeighted(roi_overlay, 1.0, red, 0.3, 0) mask_u8 = (mask_roi_01.astype(np.uint8) * 255) mask3 = cv2.merge([mask_u8, mask_u8, mask_u8]) blended_masked = cv2.bitwise_and(blended, mask3) roi_bg = cv2.bitwise_and(roi_overlay, cv2.bitwise_not(mask3)) roi_overlay = cv2.add(roi_bg, blended_masked) seg_full[y1:y2, x1:x2] = roi_overlay segmentation_path = os.path.join(out_dir, f"segmentation_{ts}.png") cv2.imwrite(segmentation_path, seg_full) anno_full = image_cv.copy() anno_full[y1:y2, x1:x2] = anno_roi annotated_seg_path = os.path.join(out_dir, f"segmentation_annotated_{ts}.png") cv2.imwrite(annotated_seg_path, anno_full) # --- Optional classification --- wound_type = "Unknown" cls_pipe = self.models_cache.get("cls") if cls_pipe is not None: try: preds = cls_pipe(Image.fromarray(cv2.cvtColor(roi, cv2.COLOR_BGR2RGB))) if preds: wound_type = max(preds, key=lambda x: x.get("score", 0)).get("label", "Unknown") except Exception as e: logging.warning(f"Classification failed: {e}") return { "wound_type": wound_type, "length_cm": length_cm, "breadth_cm": breadth_cm, "surface_area_cm2": surface_area_cm2, "px_per_cm": round(px_per_cm, 2), "calibration_meta": exif_meta, "detection_confidence": float(results[0].boxes.conf[0].cpu().item()) if getattr(results[0].boxes, "conf", None) is not None else 0.0, "detection_image_path": detection_path, "segmentation_image_path": segmentation_path, "segmentation_annotated_path": annotated_seg_path, "original_image_path": original_path, } except Exception as e: logging.error(f"Visual analysis failed: {e}", exc_info=True) raise # ---------- Knowledge base and reporting stay unchanged ---------- def query_guidelines(self, query: str) -> str: try: vs = self.knowledge_base_cache.get("vector_store") if not vs: return "Knowledge base is not available." try: retriever = vs.as_retriever(search_kwargs={"k": 5}) docs = retriever.get_relevant_documents(query) except Exception: retriever = vs.as_retriever(search_kwargs={"k": 5}) docs = retriever.invoke(query) lines: List[str] = [] for d in docs: src = (d.metadata or {}).get("source", "N/A") txt = (d.page_content or "")[:300] lines.append(f"Source: {src}\nContent: {txt}...") return "\n\n".join(lines) if lines else "No relevant guideline snippets found." except Exception as e: logging.warning(f"Guidelines query failed: {e}") return f"Guidelines query failed: {str(e)}" def _generate_fallback_report(self, patient_info: str, visual_results: Dict, guideline_context: str) -> str: return f"""# 🩺 SmartHeal AI - Comprehensive Wound Analysis Report ## 📋 Patient Information {patient_info} ## 🔍 Visual Analysis Results - **Wound Type**: {visual_results.get('wound_type', 'Unknown')} - **Dimensions**: {visual_results.get('length_cm', 0)} cm × {visual_results.get('breadth_cm', 0)} cm - **Surface Area**: {visual_results.get('surface_area_cm2', 0)} cm² - **Detection Confidence**: {visual_results.get('detection_confidence', 0):.1%} - **Calibration**: {visual_results.get('px_per_cm','?')} px/cm ({(visual_results.get('calibration_meta') or {}).get('used','default')}) ## 📊 Analysis Images - **Original**: {visual_results.get('original_image_path', 'N/A')} - **Detection**: {visual_results.get('detection_image_path', 'N/A')} - **Segmentation**: {visual_results.get('segmentation_image_path', 'N/A')} - **Annotated**: {visual_results.get('segmentation_annotated_path', 'N/A')} ## 🎯 Clinical Summary Automated analysis provides quantitative measurements; verify via clinical examination. ## 💊 Recommendations - Cleanse wound gently; select dressing per exudate/infection risk - Debride necrotic tissue if indicated (clinical decision) - Document with serial photos and measurements ## 📅 Monitoring - Daily in week 1, then every 2–3 days (or as indicated) - Weekly progress review ## 📚 Guideline Context {(guideline_context or '')[:800]}{"..." if guideline_context and len(guideline_context) > 800 else ''} **Disclaimer:** Automated, for decision support only. Verify clinically. """ def generate_final_report( self, patient_info: str, visual_results: Dict, guideline_context: str, image_pil: Image.Image, max_new_tokens: Optional[int] = None, ) -> str: try: report = generate_medgemma_report( patient_info, visual_results, guideline_context, image_pil, max_new_tokens ) if report and report.strip() and not report.startswith(("⚠️", "❌")): return report logging.warning("MedGemma unavailable/invalid; using fallback.") return self._generate_fallback_report(patient_info, visual_results, guideline_context) except Exception as e: logging.error(f"Report generation failed: {e}") return self._generate_fallback_report(patient_info, visual_results, guideline_context) def save_and_commit_image(self, image_pil: Image.Image) -> str: try: os.makedirs(self.uploads_dir, exist_ok=True) ts = datetime.now().strftime("%Y%m%d_%H%M%S") filename = f"{ts}.png" path = os.path.join(self.uploads_dir, filename) image_pil.convert("RGB").save(path) logging.info(f"✅ Image saved locally: {path}") if HF_TOKEN and DATASET_ID: try: HfApi, HfFolder = _import_hf_hub() HfFolder.save_token(HF_TOKEN) api = HfApi() api.upload_file( path_or_fileobj=path, path_in_repo=f"images/{filename}", repo_id=DATASET_ID, repo_type="dataset", token=HF_TOKEN, commit_message=f"Upload wound image: {filename}", ) logging.info("✅ Image committed to HF dataset") except Exception as e: logging.warning(f"HF upload failed: {e}") return path except Exception as e: logging.error(f"Failed to save/commit image: {e}") return "" def full_analysis_pipeline(self, image_pil: Image.Image, questionnaire_data: Dict) -> Dict: try: saved_path = self.save_and_commit_image(image_pil) visual_results = self.perform_visual_analysis(image_pil) pi = questionnaire_data or {} patient_info = ( f"Age: {pi.get('age','N/A')}, " f"Diabetic: {pi.get('diabetic','N/A')}, " f"Allergies: {pi.get('allergies','N/A')}, " f"Date of Wound: {pi.get('date_of_injury','N/A')}, " f"Professional Care: {pi.get('professional_care','N/A')}, " f"Oozing/Bleeding: {pi.get('oozing_bleeding','N/A')}, " f"Infection: {pi.get('infection','N/A')}, " f"Moisture: {pi.get('moisture','N/A')}" ) query = ( f"best practices for managing a {visual_results.get('wound_type','Unknown')} " f"with moisture '{pi.get('moisture','unknown')}' and infection '{pi.get('infection','unknown')}' " f"in a diabetic status '{pi.get('diabetic','unknown')}'" ) guideline_context = self.query_guidelines(query) report = self.generate_final_report(patient_info, visual_results, guideline_context, image_pil) return { "success": True, "visual_analysis": visual_results, "report": report, "saved_image_path": saved_path, "guideline_context": (guideline_context or "")[:500] + ( "..." if guideline_context and len(guideline_context) > 500 else "" ), } except Exception as e: logging.error(f"Pipeline error: {e}") return { "success": False, "error": str(e), "visual_analysis": {}, "report": f"Analysis failed: {str(e)}", "saved_image_path": None, "guideline_context": "", } def analyze_wound(self, image, questionnaire_data: Dict) -> Dict: try: if isinstance(image, str): if not os.path.exists(image): raise ValueError(f"Image file not found: {image}") image_pil = Image.open(image) elif isinstance(image, Image.Image): image_pil = image elif isinstance(image, np.ndarray): image_pil = Image.fromarray(image) else: raise ValueError(f"Unsupported image type: {type(image)}") return self.full_analysis_pipeline(image_pil, questionnaire_data or {}) except Exception as e: logging.error(f"Wound analysis error: {e}") return { "success": False, "error": str(e), "visual_analysis": {}, "report": f"Analysis initialization failed: {str(e)}", "saved_image_path": None, "guideline_context": "", }