File size: 10,620 Bytes
54f0281
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
"""FALLBACK ONLY: minimal SPEC §8.1/§8.3/§8.7 tutor pieces so the faithfulness harness runs end to end before
backend.app.tutor lands. eval.adapters prefers the production modules and labels any use of this file in
ENGINE_STATUS; live faithfulness runs refuse to use it (condition G must be the production pipeline).
"""

from __future__ import annotations

import json
import re
from pathlib import Path
from typing import Any

import yaml

from eval import checks, render
from eval.adapters import display, repo_for, zone_human
from eval.common import REPO_ROOT
from shared.contracts import (
    AttemptSubmit,
    Case,
    DebriefFacts,
    DebriefOutput,
    FactsCase,
    FactsFinding,
    FactsLearner,
    FactsMark,
    FactsPattern,
    FactsSearch,
    Outcome,
)

MISSED = {"missed_search", "missed_recognition", "missed_decision"}


def spec_system_prompt() -> str:
    """The v1 debrief system prompt quoted in docs/SPEC.md §8.3 (first fenced block after the heading)."""
    spec = (REPO_ROOT / "docs" / "SPEC.md").read_text()
    sec = spec.split("### 8.3", 1)[1]
    m = re.search(r"```\n(.*?)```", sec, re.S)
    return m.group(1).strip() if m else "You write the debrief for Blindspot."


def load_cards() -> dict[str, dict[str, Any]]:
    d = REPO_ROOT / "content" / "teaching_cards"
    out: dict[str, dict[str, Any]] = {}
    for p in sorted(d.glob("*.yaml")) if d.exists() else []:
        try:
            c = yaml.safe_load(p.read_text()) or {}
        except yaml.YAMLError:
            continue
        if isinstance(c, dict) and c.get("label"):
            out[c["label"]] = c
    return out


def _difficulty(v: float | None) -> str | None:
    if v is None:
        return None
    return "hard" if v > 0.3 else ("easy" if v < -0.3 else "moderate")


def _size(area_frac: float) -> str:
    word = "small" if area_frac < 0.005 else ("medium" if area_frac < 0.03 else "large")
    return f"{word} (about {100 * area_frac:.2g}% of the image)"


def build_facts(
    *,
    case: Case,
    submit: AttemptSubmit,
    outcomes: list[Outcome],
    spatial_relations: list[Any],
    search: FactsSearch,
    mark_zones: dict[str, str | None],
    level: str,
    history: dict[str, Any],
) -> DebriefFacts:
    findings = [
        FactsFinding(
            id=f.short_id,
            label=f.label,
            display=display(f.label),
            kind=f.kind,
            side=f.side,
            primary_zone=f.primary_zone,
            zones=list(f.zones),
            relative_location=f.relative_location,
            size=_size(f.area_frac) if f.kind == "focal" else None,
            difficulty=_difficulty(f.difficulty),
            zones_approximate=case.zones_approximate,
            ctr=case.cardiothoracic_ratio if f.label == "cardiomegaly" else None,
        )
        for f in case.findings
    ]
    t_end = submit.telemetry[-1].t / 1000.0 if submit.telemetry else 0.0
    learner = FactsLearner(
        level=level,
        declared_normal=submit.declared_normal,
        normal_confidence=submit.normal_confidence,
        hints_used=submit.hints_used,
        time_to_submit_s=round(t_end, 1),
        marks=[
            FactsMark(id=m.mark_id, label=m.label, confidence=m.confidence, zone=mark_zones.get(m.mark_id))
            for m in submit.marks
        ],
        pattern_selections=[FactsPattern(label=p.label, confidence=p.confidence) for p in submit.patterns],
    )
    labels = {f.label for f in case.findings} | {m.label for m in submit.marks if m.label != "not_sure"}
    return DebriefFacts(
        case=FactsCase(
            case_id=case.case_id,
            is_normal=case.is_normal,
            projection="frontal; PA vs AP not recorded",
            pixel_spacing_mm=case.pixel_spacing_mm,
            findings=findings,
        ),
        learner=learner,
        outcomes=list(outcomes),
        spatial_relations=list(spatial_relations),
        search=search,
        history=history,
        teaching_cards=sorted(labels),
    )


def verdict_for(facts: DebriefFacts) -> str:
    res = {o.target: o.result for o in facts.outcomes}
    fps = [o for o in facts.outcomes if o.result == "false_positive"]
    if facts.case.is_normal:
        return "correct_normal" if not fps and not facts.learner.marks else "overcall"
    if facts.learner.declared_normal:
        return "missed_normal_call"
    fres = [res.get(f.id) for f in facts.case.findings]
    good = sum(r in ("found", "pattern_found") for r in fres)
    if good == len(fres):
        return "all_found"
    if good == 0 and not any(r == "mislabeled" for r in fres):
        return "missed"
    return "partly_found"


WHY = {
    "found": "You found it and named it correctly.",
    "mislabeled": "You found the right spot but chose a different label.",
    "missed_search": "Your search never paused in this region.",
    "missed_recognition": "Your cursor passed over this region only briefly.",
    "missed_decision": "You looked here at length but judged it normal.",
    "pattern_found": "You reported this global finding.",
    "pattern_missed": "This global finding was not selected.",
}


def template_debrief(facts: DebriefFacts, cards: dict[str, Any] | None = None) -> DebriefOutput:
    cards = cards or {}
    res = {o.target: o for o in facts.outcomes}
    findings = []
    for f in facts.case.findings:
        o = res.get(f.id)
        result = o.result if o else ("pattern_missed" if f.kind == "pattern" else "missed_search")
        card = cards.get(f.label) or {}
        signs = list((card.get("key_signs") if isinstance(card, dict) else getattr(card, "key_signs", [])) or [])
        where = f.relative_location or zone_human(f.primary_zone) if f.kind == "focal" else "the whole chest"
        findings.append(
            {
                "finding_id": f.id,
                "result": result,
                "where_to_look": where,
                "what_it_looks_like": signs[:2] or [f"See the outlined {f.display.lower()}."],
                "why": WHY.get(result, ""),
            }
        )
    overcalls = [
        {
            "mark_id": o.target,
            "explanation": f"Radiologists marked nothing at your mark in the {zone_human(o.zone)}.",
            "possible_mimics": [],
        }
        for o in facts.outcomes
        if o.result == "false_positive"
    ]
    unv = [zone_human(z) for z in facts.search.unvisited_review_areas[:3]]
    out = {
        "headline": {
            "all_found": "Everything found.",
            "correct_normal": "Correct: this film is normal.",
            "overcall": "Nothing was there to mark.",
            "missed": "This one was missed.",
            "partly_found": "Partly found.",
            "missed_normal_call": "This film was not normal.",
        }[verdict_for(facts)],
        "verdict": verdict_for(facts),
        "findings": findings,
        "overcalls": overcalls,
        "search_coaching": ("Areas you did not visit: " + ", ".join(unv) + ".")
        if unv
        else "You visited every review area.",
        "calibration_note": "",
        "next_step": "Try another case.",
        "fact_ids": [f.id for f in facts.case.findings] + [o["mark_id"] for o in overcalls],
    }
    return DebriefOutput.model_validate(out)


def cards_text(cards: dict[str, Any]) -> str:
    if not cards:
        return "TEACHING CARDS: (none available)"
    return "TEACHING CARDS:\n" + json.dumps(
        {k: (v if isinstance(v, dict) else v.model_dump()) for k, v in sorted(cards.items())},
        sort_keys=True,
        ensure_ascii=False,
    )


def g_images(case: Case, data_root: Path, submit: AttemptSubmit, facts: DebriefFacts) -> list[tuple[dict, str]]:
    """SPEC §8.2: full image with outlines + marks; clean crop and outlined crop around the primary miss."""
    repo = repo_for(data_root)
    gray = render.load_gray(data_root, case)
    full = render.draw_marks(render.draw_outlines(render.to_rgb(gray), case, repo), list(submit.marks))
    res = {o.target: o.result for o in facts.outcomes}
    focal = [f for f in case.findings if f.kind == "focal"]
    target = next((f for f in focal if res.get(f.short_id) in MISSED | {"mislabeled"}), focal[0] if focal else None)
    blocks = [render.image_block(full)]
    if target is not None:
        size = max(64, case.width // 2)
        cx, cy = target.centroid
        blocks.append(render.image_block(render.crop(render.to_rgb(gray), cx, cy, size)))
        outl = render.draw_outlines(render.to_rgb(gray), case, repo, [target])
        blocks.append(render.image_block(render.crop(outl, cx, cy, size)))
    return blocks


def generate_debrief(
    facts: DebriefFacts,
    case: Case,
    submit: AttemptSubmit,
    *,
    client: Any,
    data_root: Path,
    model: str,
    cards: dict[str, Any],
) -> dict[str, Any]:
    schema = json.loads(checks.load_schema_path().read_text())
    schema = {k: v for k, v in schema.items() if not k.startswith("$") and k not in ("title", "description")}
    system = [
        {"type": "text", "text": spec_system_prompt()},
        {"type": "text", "text": cards_text(cards), "cache_control": {"type": "ephemeral"}},
    ]
    content: list[dict[str, Any]] = [b for b, _ in g_images(case, data_root, submit, facts)]
    content.append({"type": "text", "text": "FACTS:\n" + facts.model_dump_json(by_alias=True)})
    kwargs = {
        "model": model,
        "max_tokens": 1200,
        "system": system,
        "output_config": {"format": {"type": "json_schema", "schema": schema}},
    }
    first_v: dict[str, Any] | None = None
    for attempt in range(2):
        resp = client.messages.create(messages=[{"role": "user", "content": content}], **kwargs)
        text = next((b.text for b in resp.content if b.type == "text"), None)
        try:
            out = DebriefOutput.model_validate(json.loads(text or ""))
        except Exception:  # noqa: BLE001 — a malformed response counts as a validator failure
            out = None
        v = checks.validate(out.model_dump(), facts, cards) if out else {"ok": False, "errors": ["unparseable"]}
        first_v = first_v or v
        if out is not None and v["ok"]:
            return {
                "debrief": out,
                "source": "live",
                "validator": {"first": first_v, "final": v, "regenerated": attempt == 1},
            }
        content = content + [{"type": "text", "text": "Fix these problems: " + "; ".join(v["errors"][:8])}]
    tmpl = template_debrief(facts, cards)
    return {"debrief": tmpl, "source": "template", "validator": {"first": first_v, "final": None, "regenerated": True}}