feat(ceus): 任务书 02 第三阶段——scripts/ceus_quant.py

- delivery 的 CaseRecord 加视频路径和推注时间（C04、C08 已检查过）。 - scripts/ceus_quant.py：读 ceus.yaml，跑检查全部通过的病例；runs/ceus/<运行号>/ 先写 .partial 再改名；第 1–6 步的单例失败记 failed.csv 后接着跑；终端只打印计数。 - 分割缓存 work/segment_cache/<键>/：键含视频 SHA-256、第 1–3 步参数、权重 SHA-256、MedSAM2 提交号。 - 视频解码错误改为第 1 步的单例失败（VideoDecodeError），不再停掉整次运行（审阅意见）。 - 暗区 kmeans 用 cv2 进程级随机数，结果受病例顺序影响；ceus 配置加必填 random_seed，每例第 4 步前设种子。 - segment 导出 cuda_peak_memory_bytes，供运行快照记录显存峰值。 Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
2026-10-16 05:30:29 -04:00
parent 150eb5f6ae
commit 3524b31e3e
12 changed files with 667 additions and 26 deletions
@@ -28,6 +28,10 @@ segment: # 分割设置，字段定义在 src/cadx/segment/_config.py。出自

 ceus:
  config_version: "4" # 参数口径版本号，由人改。出自旧项目：Lognormal-v2 参数口径（design/0044）
+  # cv2 进程级随机数的种子，每例第 4–9 步开头设一次（第 5 步暗区的 kmeans 候选用 k-means++ 随机选初始
+  # 中心）。不设时同一例的结果取决于同一进程里前面跑过几次 kmeans。本仓库为可复现新加（AGENTS.md
+  # 「可复现」），旧项目未设种子
+  random_seed: 0

  views: # 出自旧项目：findings §3.1 视图切分
    layout: horizontal_split # 屏幕左右各一半。出自旧项目 findings §3.1
@@ -293,8 +293,8 @@ Python 环境用 uv；安装与检查命令见 `../guides/开发环境.md`。
 | 模块 | 预期行数 | 实际行数 | 旧项目对应部分的行数 |
 | --- | --- | --- | --- |
 | ceus | 6000–7500（基本照搬旧算法，去掉只为产品层服务的部分） | — | `ceus_roi/` 除 `service.py` 7330，`video_decoder.py` 135 |
-| segment | 150–300 | 220 | `medsam2_local_track.py` 240 |
-| delivery | 400–700 | 733 | `clinical.py` 266、`modalities.py` 522、`workbook.py` 99、`delivery.py` 134，共 1021，其中入库与数据库部分不迁 |
+| segment | 150–300 | 233 | `medsam2_local_track.py` 240 |
+| delivery | 400–700 | 739 | `clinical.py` 266、`modalities.py` 522、`workbook.py` 99、`delivery.py` 134，共 1021，其中入库与数据库部分不迁 |
 | library | 150–300 | 300 | `input_packages.py` 104 |
 | answers | 100–200 | 201 | — |
 | verdicts | 100–200 | — | — |
@@ -304,7 +304,7 @@ Python 环境用 uv；安装与检查命令见 `../guides/开发环境.md`。
 | runs | 100–250 | 86（只含快照部分） | — |
 | consult | 500–1000（会诊口径定后重估） | — | — |
 | evaluate | 300–600（评价口径定后重估） | — | 已删的 `core/eval` 622 |
-| scripts/ 每个 | ≤ 300 | `build.py` 37、`scan_library.py` 88 | `t1_local_debug.py` 762、`tic_lognormal_replay.py` 627 |
+| scripts/ 每个 | ≤ 300 | `build.py` 37、`scan_library.py` 88、`ceus_quant.py` 293 | `t1_local_debug.py` 762、`tic_lognormal_replay.py` 627 |

 ---

@@ -328,7 +328,7 @@ Python 环境用 uv；安装与检查命令见 `../guides/开发环境.md`。

 - `read_delivery(delivery_dir, code_maps)`：读交付包，做整张表的检查 T1–T4 和逐例检查 C01–C13，交出 `DeliveryResult`；`code_maps` 为 None 表示不解码。
 - `DeliveryResult`：一次读取的结果：通过的病例（按病例号排序）、跳过记录、病例总数、认不出编号的行数、因没有映射表而没比对的项。
- `CaseRecord`：一个检查全部通过的病例：三位病例号、视频号、临床一路的 22 列、超声描述、MR 描述、关键图路径、三张表的诊断编码。
+- `CaseRecord`：一个检查全部通过的病例：三位病例号、视频号、临床一路的 22 列、超声描述、MR 描述、关键图路径、CEUS 视频路径（`video`，C04 已检查恰好一段）、推注时间 X（`bolus_start_s`，超声表「推注开始时间s」，C08 已检查是非负整数）、三张表的诊断编码。
 - `DiagnosisCodes`：一例在临床表、超声表、MR 表里各自的诊断编码（C10 保证三者相等）。
 - `SkipRecord`：一条跳过记录：病例号（认不出编号时是「文件 第 N 行」或「病例目录 名字」）、检查编号、检查说明、涉及的文件和列、涉及值的 JSON 字符串。
 - `DeliveryError`：整张表读不了（T1–T4）时抛出，消息以检查编号开头，整次构建停下。
@@ -370,14 +370,14 @@ Python 环境用 uv；安装与检查命令见 `../guides/开发环境.md`。

 对外两段接口，中间由 `scripts/ceus_quant.py` 调 segment 做第 3 步：

- `prepare_segmentation(video_path, cfg)`：第 1–2 步，交出 `SegmentationInput`；找不到可信分屏线抛 `SplitDetectionError`（第 1 步），两半都有或都没有绿框抛 `ContrastSideError`（第 2 步）。
+- `prepare_segmentation(video_path, cfg)`：第 1–2 步，交出 `SegmentationInput`；视频打不开或读出的不合规（fps、尺寸、时间戳、帧数）抛 `VideoDecodeError`、找不到可信分屏线抛 `SplitDetectionError`（都是第 1 步），两半都有或都没有绿框抛 `ContrastSideError`（第 2 步）。
 - `SegmentationInput`：视频的 fps、帧数、宽高、逐帧时间戳，分屏线，`contrast`（`ContrastSide`：哪一半是造影画面、造影视图和分割那一半视图 `target_view`、提示帧），`target_frames`（分割那一半的逐帧 BGR 图像），`prompt_masks`（提示帧帧号 → 绿框挪到 `target_view` 局部坐标的掩膜），造影那一半的第一帧。
 - `quantify_case(prepared, target_masks, injection_offset_s, cfg)`：第 4–9 步。`target_masks` 是分割在 `target_view` 局部坐标上的 `(帧数, 高, 宽)` 布尔数组，`injection_offset_s` 是推注时间 X；分割一帧有效轮廓都没有抛 `NoValidContourError`（第 4 步）。拟合没过质量门不抛错。
 - `QuantResult`：`trajectory`（`Trajectory`）、`tic`（`TicResult`）、`curves`（`TicCurves`）、推注时间、病灶两条曲线拟合是否都过质量门、`anchors`（7 个槽位的 `AnchorFrameLocation`）、`perfusion`（`roi_all`、`roi_perf` 各自的 `LognormalPerfusionMetrics`，拟合没过为 None）、紫圈检出率。
 - `AnchorFrameLocation`：一个关键帧槽位的帧号、视频时间、推注后时刻、状态（`ok` 或未定位的类别）、未定位的原因、锚点时刻。
 - 写产物用：`pack_trajectory(trajectory)`（trajectory.npz 字节）、`pack_tic_curves(curves)`（tic_curves.npz 字节）、`render_tic_png(tic, markers=tic_plot_markers(anchors))`（tic.png，标出 D1–D4）、`render_case_overlay(prepared, result)`（overlay.mp4 字节）、`keyframe_images(prepared, anchors)`（定位到的关键帧整幅原图，槽位 → 图像）、`quant_summary(result)`（拟合、灌注指标、紫圈检出率、7 个关键帧定位，可直接写成 JSON）；读回用 `unpack_trajectory`、`unpack_tic_curves`。
 - `CeusConfig` 及各段的配置类：`config/ceus.yaml` 里 `ceus` 段的字段定义（pydantic，字段必填、不许多写、读入后不可改）；`paths` 段由 `scripts/ceus_quant.py` 定义。
- `CeusCaseError`：只落在这一例上的失败，带失败的步号和原因；`SplitDetectionError`、`ContrastSideError`、`NoValidContourError` 是它的子类。脚本据此把这一例记进 `failed.csv`、接着跑下一例。
+- `CeusCaseError`：只落在这一例上的失败，带失败的步号和原因；`VideoDecodeError`、`SplitDetectionError`、`ContrastSideError`、`NoValidContourError` 是它的子类。脚本据此把这一例记进 `failed.csv`、接着跑下一例。
 - `VideoFile(path)`：按路径用 cv2 读视频：`probe()` 给 fps、帧数、宽高；`iter_frames()` 每次从第 0 帧逐帧读；`frame_times_s()` 给逐帧显示时间戳。
 - 其余导出（几何函数、各步的算法函数与结果类型，如 `split_views`、`locate_contrast_side`、`masks_to_smoothed_polygons`、`extract_dark_region_polygons`、`select_reference_region`、`compute_tic_for_video`、`fit_lognormal_curve`、`locate_anchor_frames`、`compute_lognormal_perfusion_metrics`、`render_overlay`）是两段接口的组成部分，供测试用。

@@ -386,6 +386,7 @@ Python 环境用 uv；安装与检查命令见 `../guides/开发环境.md`。
 - `segment_video(frames, prompt_masks, cfg)`：把提示帧的病灶掩码用 MedSAM2 传播到每一帧；`frames` 是分割那一半的逐帧 BGR 图像，`prompt_masks` 是提示帧帧号 → 同尺寸布尔掩码，交出 `(帧数, 高, 宽)` 布尔数组（即 `quantify_case` 的 `target_masks`）。
 - `SegmentConfig`：`config/ceus.yaml` 里 `segment` 段的字段定义（MedSAM2 代码目录、权重、模型配置名、设备、两个 offload 开关；pydantic，字段必填、不许多写、读入后不可改）。
 - `medsam2_commit(medsam2_dir)`：读 MedSAM2 代码目录 `.git` 的 HEAD 提交号，给快照和分割缓存键用。
+- `cuda_peak_memory_bytes(device)`：本进程在该设备上分配过的显存峰值（字节），给运行快照用；非 CUDA 设备为 None，本进程没初始化过 CUDA（分割全读了缓存）为 0。放在 segment 里，是因为 `cadx` 里只有它引用 `torch`。

 ### build（`src/cadx/build/`）

@@ -0,0 +1,293 @@
+"""CEUS 定量：对交付包里检查全部通过的病例逐例跑第 1–9 步，写进 `runs/ceus/<运行号>/`。
+
+用法：uv run python scripts/ceus_quant.py --config config/ceus.yaml
+第 3 步（MedSAM2 分割）的结果按内容键缓存在 `<work_root>/segment_cache/<键>/masks.npz`，键相同就
+直接读缓存、不调显卡。某一例在第 1–6 步失败（`CeusCaseError`）记进 `failed.csv`，接着跑下一例；
+其余异常整次运行停下，留下 `.partial` 目录。终端只打印计数，不打印视频号。
+"""
+
+import argparse
+import csv
+import hashlib
+import json
+import sys
+import time
+from collections import Counter
+from collections.abc import Callable, Hashable, Sequence
+from datetime import datetime
+from pathlib import Path
+from typing import Annotated, Any
+
+import cv2
+import numpy as np
+import numpy.typing as npt
+import yaml
+from pydantic import BaseModel, BeforeValidator, ConfigDict, Field
+
+from cadx.ceus import (
+    ANCHOR_SLOTS,
+    CeusCaseError,
+    CeusConfig,
+    SegmentationInput,
+    keyframe_images,
+    pack_tic_curves,
+    pack_trajectory,
+    prepare_segmentation,
+    quant_summary,
+    quantify_case,
+    render_case_overlay,
+    render_tic_png,
+    tic_plot_markers,
+)
+from cadx.delivery import CaseRecord, read_delivery
+from cadx.runs import make_build_id, read_git_state, write_snapshot
+from cadx.segment import SegmentConfig, cuda_peak_memory_bytes, medsam2_commit, segment_video
+
+REPO_ROOT = Path(__file__).resolve().parents[1]
+
+# 第 1–2 步（`prepare_segmentation`）读的 ceus 段子段：views（分屏）、prompt_source（绿框颜色）、
+# keyframes（提示帧选择）。它们决定交给分割的帧和提示掩码，进分割缓存键。
+_STEP_1_2_CEUS_FIELDS = frozenset({"views", "prompt_source", "keyframes"})
+# segment 段里不改变分割结果的开关，不进缓存键；其余字段都进。
+_RESULT_NEUTRAL_SEGMENT_FIELDS = frozenset(
+    {"device", "offload_video_to_cpu", "offload_state_to_cpu"}
+)
+_FAILED_HEADER = ("video_id", "step", "reason")
+
+
+def _reject_empty_path(value: object) -> object:
+    # Path("") 会变成 "."（当前目录），空串在转换前就拦下。
+    if value == "":
+        raise ValueError("路径不能是空串")
+    return value
+
+
+# YAML 里的路径是字符串；路径字段是唯一允许从字符串转换类型的地方。
+type _PathField = Annotated[Path, Field(strict=False), BeforeValidator(_reject_empty_path)]
+
+
+class PathsConfig(BaseModel):
+    """`paths` 段：交付包、运行目录的上级、中间文件目录。相对路径相对仓库根目录。"""
+
+    model_config = ConfigDict(strict=True, extra="forbid", frozen=True)
+
+    delivery_dir: _PathField
+    runs_root: _PathField
+    work_root: _PathField
+
+
+class QuantConfig(BaseModel):
+    """`ceus.yaml` 整份：`segment` 段交 segment 校验，`ceus` 段交 ceus 校验。"""
+
+    model_config = ConfigDict(strict=True, extra="forbid", frozen=True)
+
+    paths: PathsConfig
+    segment: SegmentConfig
+    ceus: CeusConfig
+
+
+class _UniqueKeyLoader(yaml.SafeLoader):
+    """同一层出现重复键就报错：PyYAML 默认让后一个悄悄覆盖前一个。"""
+
+    # 签名（含 deep 的默认值）照抄 PyYAML 的基类方法，覆盖时必须一致。
+    def construct_mapping(self, node: yaml.MappingNode, deep: bool = False) -> dict[Hashable, Any]:
+        seen: set[Hashable] = set()
+        for key_node, _ in node.value:
+            key = self.construct_object(key_node, deep=deep)  # pyright: ignore[reportUnknownMemberType]
+            if key in seen:
+                raise ValueError(f"YAML 第 {key_node.start_mark.line + 1} 行重复的键：{key!r}")
+            seen.add(key)
+        return super().construct_mapping(node, deep=deep)
+
+
+def load_config(path: Path) -> QuantConfig:
+    """读并校验 `ceus.yaml`，路径保持文件里的写法（缓存键用这一份，不随仓库位置变）。"""
+    text = path.read_text(encoding="utf-8")
+    return QuantConfig.model_validate(yaml.load(text, Loader=_UniqueKeyLoader))  # noqa: S506  继承 SafeLoader
+
+
+def _resolved(config: QuantConfig) -> QuantConfig:
+    """相对路径换成仓库根目录下的绝对路径（绝对路径原样保留）。"""
+    paths, segment = config.paths, config.segment
+    return config.model_copy(
+        update={
+            "paths": paths.model_copy(
+                update={
+                    "delivery_dir": REPO_ROOT / paths.delivery_dir,
+                    "runs_root": REPO_ROOT / paths.runs_root,
+                    "work_root": REPO_ROOT / paths.work_root,
+                }
+            ),
+            "segment": segment.model_copy(
+                update={
+                    "medsam2_dir": REPO_ROOT / segment.medsam2_dir,
+                    "checkpoint": REPO_ROOT / segment.checkpoint,
+                }
+            ),
+        }
+    )
+
+
+def file_sha256(path: Path) -> str:
+    digest = hashlib.sha256()
+    with path.open("rb") as handle:
+        while chunk := handle.read(1 << 20):
+            digest.update(chunk)
+    return digest.hexdigest()
+
+
+def segment_cache_key(
+    video_sha256: str, config: QuantConfig, checkpoint_sha256: str, commit: str
+) -> str:
+    """分割缓存键：视频、第 1–3 步参数、权重、MedSAM2 提交号拼成规范 JSON 后的 SHA-256。"""
+    payload = {
+        "video_sha256": video_sha256,
+        "ceus": config.ceus.model_dump(mode="json", include=set(_STEP_1_2_CEUS_FIELDS)),
+        "segment": config.segment.model_dump(
+            mode="json", exclude=set(_RESULT_NEUTRAL_SEGMENT_FIELDS)
+        ),
+        "checkpoint_sha256": checkpoint_sha256,
+        "medsam2_commit": commit,
+    }
+    canonical = json.dumps(payload, sort_keys=True, ensure_ascii=False, separators=(",", ":"))
+    return hashlib.sha256(canonical.encode("utf-8")).hexdigest()
+
+
+def _masks(
+    prepared: SegmentationInput, key: str, cache_root: Path, segment_cfg: SegmentConfig
+) -> tuple[npt.NDArray[np.bool_], bool]:
+    """读分割缓存；没有就调 MedSAM2，先写 `<键>.partial` 再改名。返回（掩码，是否命中缓存）。"""
+    final = cache_root / key
+    if final.exists():
+        with np.load(final / "masks.npz", allow_pickle=False) as data:
+            return data["masks"], True
+    masks = segment_video(prepared.target_frames, prepared.prompt_masks, segment_cfg)
+    partial = cache_root / f"{key}.partial"
+    # 上次中途停下留下的 .partial 会让这里报错：work/ 可以删掉重算，删掉它再跑。
+    partial.mkdir(parents=True, exist_ok=False)
+    np.savez_compressed(partial / "masks.npz", masks=masks)
+    partial.rename(final)
+    return masks, False
+
+
+def _write_png(path: Path, image: npt.NDArray[np.uint8]) -> None:
+    ok, encoded = cv2.imencode(".png", image)
+    if not ok:
+        raise RuntimeError(f"关键帧编码 PNG 失败：{path}")
+    path.write_bytes(encoded.tobytes())
+
+
+def _run_case(
+    case: CaseRecord, cfg: QuantConfig, key_of: Callable[[str], str], run_dir: Path
+) -> tuple[tuple[str, ...], bool]:
+    """跑一例并写出产物，返回（定位到的关键帧槽位，分割是否命中缓存）。
+
+    `key_of` 把视频的 SHA-256 换成分割缓存键（其余几样跨病例不变）。
+    """
+    prepared = prepare_segmentation(case.video, cfg.ceus)
+    key = key_of(file_sha256(case.video))
+    masks, hit = _masks(prepared, key, cfg.paths.work_root / "segment_cache", cfg.segment)
+    result = quantify_case(prepared, masks, float(case.bolus_start_s), cfg.ceus)
+
+    case_dir = run_dir / case.video_id
+    (case_dir / "keyframes").mkdir(parents=True, exist_ok=False)
+    (case_dir / "trajectory.npz").write_bytes(pack_trajectory(result.trajectory))
+    (case_dir / "tic_curves.npz").write_bytes(pack_tic_curves(result.curves))
+    summary = {"video_id": case.video_id, "segment_cache_key": key, **quant_summary(result)}
+    (case_dir / "summary.json").write_text(
+        json.dumps(summary, ensure_ascii=False, indent=2, allow_nan=False) + "\n", encoding="utf-8"
+    )
+    markers = tic_plot_markers(result.anchors)
+    (case_dir / "tic.png").write_bytes(render_tic_png(result.tic, markers=markers))
+    (case_dir / "overlay.mp4").write_bytes(render_case_overlay(prepared, result))
+    images = keyframe_images(prepared, result.anchors)
+    for slot, image in images.items():
+        _write_png(case_dir / "keyframes" / f"{slot}.png", image)
+    return tuple(images), hit
+
+
+def main(argv: Sequence[str]) -> None:
+    parser = argparse.ArgumentParser(description="CEUS 定量：逐例跑第 1–9 步")
+    parser.add_argument("--config", type=Path, required=True, help="ceus.yaml 的路径")
+    config_path: Path = parser.parse_args(argv).config
+    started_at = datetime.now().astimezone()
+    clock = time.monotonic()
+
+    written = load_config(config_path)
+    cfg = _resolved(written)
+    git = read_git_state(REPO_ROOT)
+    run_id = make_build_id(started_at, git)
+    run_dir = cfg.paths.runs_root / run_id
+    partial = cfg.paths.runs_root / f"{run_id}.partial"
+    for path in (run_dir, partial):
+        if path.exists():
+            raise FileExistsError(f"运行目录已存在，不覆盖：{path}")
+    partial.mkdir(parents=True, exist_ok=False)
+
+    delivery = read_delivery(cfg.paths.delivery_dir, None)
+    checkpoint_sha256 = file_sha256(cfg.segment.checkpoint)
+    commit = medsam2_commit(cfg.segment.medsam2_dir)
+
+    # 缓存键用配置文件里的写法（路径不随仓库位置变）。
+    def key_of(video_sha256: str) -> str:
+        return segment_cache_key(video_sha256, written, checkpoint_sha256, commit)
+
+    failures: list[tuple[str, int, str]] = []
+    located: Counter[str] = Counter()
+    cache_hits = 0
+    total = len(delivery.cases)
+    for number, case in enumerate(delivery.cases, start=1):
+        try:
+            slots, hit = _run_case(case, cfg, key_of, partial)
+        except CeusCaseError as error:
+            failures.append((case.video_id, error.step, error.reason))
+            print(f"[{number}/{total}] 失败在第 {error.step} 步", flush=True)
+            continue
+        located.update(slots)
+        cache_hits += hit
+        print(f"[{number}/{total}] 完成", flush=True)
+
+    with (partial / "failed.csv").open("w", encoding="utf-8", newline="") as handle:
+        writer = csv.writer(handle)
+        writer.writerow(_FAILED_HEADER)
+        writer.writerows(failures)
+    peak = cuda_peak_memory_bytes(cfg.segment.device)
+    write_snapshot(
+        snapshot_dir=partial / "snapshot",
+        build_id=run_id,
+        git=git,
+        started_at=started_at,
+        finished_at=datetime.now().astimezone(),
+        uv_lock=REPO_ROOT / "uv.lock",
+        configs={"ceus.yaml": config_path},
+    )
+    segment_record = {
+        "checkpoint_sha256": checkpoint_sha256,
+        "medsam2_commit": commit,
+        "device": cfg.segment.device,
+        "cuda_peak_memory_bytes": peak,
+        "segment_cache_hits": cache_hits,
+    }
+    (partial / "snapshot" / "segment.json").write_text(
+        json.dumps(segment_record, ensure_ascii=False, indent=2) + "\n", encoding="utf-8"
+    )
+    # POSIX 的 rename 会悄悄覆盖空目录，所以改名前再查一次。
+    if run_dir.exists():
+        raise FileExistsError(f"运行目录已存在，不覆盖：{run_dir}")
+    partial.rename(run_dir)
+
+    by_step = Counter(step for _, step, _ in failures)
+    print(f"运行目录：{run_dir}")
+    print(f"病例总数（检查全部通过）：{total}")
+    print(f"成功：{total - len(failures)}")
+    failed_text = "，".join(f"第 {step} 步 {n}" for step, n in sorted(by_step.items()))
+    print(f"按步分的失败数：{failed_text or '无'}")
+    print("关键帧按槽位分的定位数：" + "，".join(f"{s} {located[s]}" for s in ANCHOR_SLOTS))
+    print(f"分割缓存命中：{cache_hits}")
+    print(f"耗时：{time.monotonic() - clock:.1f} 秒")
+    peak_text = "不适用（非 CUDA 设备）" if peak is None else f"{peak / 2**20:.0f} MiB"
+    print(f"显存峰值（torch 分配）：{peak_text}")
+
+
+if __name__ == "__main__":
+    main(sys.argv[1:])
@@ -135,7 +135,7 @@ from cadx.ceus._trajectory import (
    pack_trajectory,
    unpack_trajectory,
 )
-from cadx.ceus._video import VideoFile
+from cadx.ceus._video import VideoDecodeError, VideoFile

 __all__ = [
    "ANCHOR_SLOTS",
@@ -186,6 +186,7 @@ __all__ = [
    "TicPlotMarker",
    "TicResult",
    "Trajectory",
+    "VideoDecodeError",
    "VideoFile",
    "ViewRect",
    "ViewsConfig",
@@ -539,12 +539,14 @@ class CeusConfig(BaseModel):
    """`config/ceus.yaml` 的 `ceus` 段：CEUS 定量的全部算法参数。

    `config_version` 标记这一批产物用的是哪一套参数口径，由人改，不从内容哈希派生；
-    不许是空串。
+    不许是空串。`random_seed` 是 cv2 进程级随机数的种子，`quantify_case` 每例开头设一次（第 5 步暗区
+    的 kmeans 候选用到随机数），让一例的结果与同一进程里先跑过哪些病例无关。
    """

    model_config = _STRICT

    config_version: str = Field(min_length=1)
+    random_seed: int
    views: ViewsConfig
    prompt_source: PromptSourceConfig
    pan_source: PanSourceConfig
@@ -20,6 +20,7 @@ from dataclasses import dataclass
 from pathlib import Path
 from typing import Any

+import cv2
 import numpy as np

 from cadx.ceus._anchor_frames import (
@@ -50,7 +51,7 @@ from cadx.ceus._tic_curves import TicCurves, from_tic_result
 from cadx.ceus._tic_fitting import LognormalFitResult, evaluate_lognormal
 from cadx.ceus._tic_plot import TicPlotMarker
 from cadx.ceus._trajectory import Trajectory
-from cadx.ceus._video import VideoFile
+from cadx.ceus._video import VideoDecodeError, VideoFile

 # 灌注指标只对病灶两条曲线算（同旧 replay 的 `_LESION_CURVES`）。
 LESION_CURVES = ("roi_all", "roi_perf")
@@ -125,7 +126,8 @@ class QuantResult:
 def prepare_segmentation(video_path: Path, cfg: CeusConfig) -> SegmentationInput:
    """第 1–2 步：解码、分屏、找绿框定造影那一半、选提示帧，交出分割的输入。

-    找不到可信分屏线抛 `SplitDetectionError`（第 1 步），两半都有或都没有绿框抛 `ContrastSideError`
+    视频读不了或读出的不合规抛 `VideoDecodeError`、找不到可信分屏线抛 `SplitDetectionError`（都是
+    第 1 步），两半都有或都没有绿框抛 `ContrastSideError`
    （第 2 步），两者都是 `CeusCaseError`。
    """
    video = VideoFile(video_path)
@@ -133,7 +135,7 @@ def prepare_segmentation(video_path: Path, cfg: CeusConfig) -> SegmentationInput
    frame_times_s = video.frame_times_s()
    full_frames = [frame for _, frame in video.iter_frames()]
    if len(full_frames) != frame_count:
-        raise RuntimeError(
+        raise VideoDecodeError(
            f"解码帧数 {len(full_frames)} 与容器记录的帧数 {frame_count} 不一致：{video_path}"
        )

@@ -194,6 +196,9 @@ def quantify_case(
    灌注指标为 None。
    """
    _validate_masks(prepared, target_masks)
+    # 第 5 步暗区的 kmeans 候选（k-means++ 选初始中心）用 cv2 的进程级随机数；每例开头重设，
+    # 这一例的结果就与同一进程里先跑过什么无关。
+    cv2.setRNGSeed(cfg.random_seed)
    contrast = prepared.contrast
    frame_count = prepared.frame_count
    prompt_frame_dicts: list[dict[str, Any]] = [
@@ -2,6 +2,7 @@

 反复遍历靠重新解码，不缓存帧：一段 1260 帧的素材解一遍不到两秒，缓存下来要好几 GB（旧项目实测）。
 每次遍历各开一个 `cv2.VideoCapture`，互不干扰。探测不到有效 fps、帧数或尺寸直接报错，不回退默认值。
+打不开、元数据或时间戳不合规是这一段视频的资料问题，抛 `VideoDecodeError`（第 1 步的单例失败）。
 """

 import math
@@ -13,8 +14,21 @@ import cv2
 import numpy as np
 import numpy.typing as npt

+from cadx.ceus._errors import CeusCaseError
 from cadx.ceus._geometry import Frame

+DECODE_STEP = 1
+
+
+class VideoDecodeError(CeusCaseError, RuntimeError):
+    """这段视频读不了或读出的不合规（打不开、fps 或尺寸非法、时间戳不严格递增、帧数对不上）。
+
+    同时是 `RuntimeError`：旧测试按 `RuntimeError` 断言，语义不变。
+    """
+
+    def __init__(self, reason: str) -> None:
+        super().__init__(DECODE_STEP, reason)
+

@dataclass(frozen=True)
 class VideoFile:
@@ -26,7 +40,7 @@ class VideoFile:
        cap = cv2.VideoCapture(str(self.path))
        if not cap.isOpened():
            cap.release()
-            raise RuntimeError(f"cv2 打不开视频：{self.path}")
+            raise VideoDecodeError(f"cv2 打不开视频：{self.path}")
        return cap

    def probe(self) -> tuple[float, int, int, int]:
@@ -40,9 +54,9 @@ class VideoFile:
        finally:
            cap.release()
        if not math.isfinite(fps) or fps <= 0:
-            raise RuntimeError(f"探测到非法 fps={fps}：{self.path}")
+            raise VideoDecodeError(f"探测到非法 fps={fps}：{self.path}")
        if frame_count <= 0 or width <= 0 or height <= 0:
-            raise RuntimeError(
+            raise VideoDecodeError(
                f"探测到非法元数据 frame_count={frame_count} "
                f"width={width} height={height}：{self.path}"
            )
@@ -74,9 +88,9 @@ class VideoFile:
                    break
                timestamp_s = float(cap.get(cv2.CAP_PROP_POS_MSEC)) / 1000.0
                if not math.isfinite(timestamp_s) or timestamp_s < 0.0:
-                    raise RuntimeError(f"视频包含非法显示时间戳 {timestamp_s}：{self.path}")
+                    raise VideoDecodeError(f"视频包含非法显示时间戳 {timestamp_s}：{self.path}")
                if times and timestamp_s <= times[-1]:
-                    raise RuntimeError(
+                    raise VideoDecodeError(
                        "视频显示时间戳不严格递增："
                        f"第 {len(times)} 帧 {timestamp_s}，前一帧 {times[-1]}：{self.path}"
                    )
@@ -84,7 +98,7 @@ class VideoFile:
        finally:
            cap.release()
        if len(times) != expected_count:
-            raise RuntimeError(
+            raise VideoDecodeError(
                f"时间戳帧数与容器记录的帧数不一致：{len(times)} / {expected_count}：{self.path}"
            )
        return np.asarray(times, dtype=np.float64)
@@ -77,6 +77,8 @@ class CaseRecord:
    ultrasound_report: str
    mr_report: str
    key_image: Path
+    video: Path  # CEUS 视频（C04 已保证恰好一段，文件名带不带 roi2 标记都可能）
+    bolus_start_s: int  # 超声表「推注开始时间s」：视频第 0 秒时已推注的秒数（C08 已保证非负整数）
    diagnosis: DiagnosisCodes


@@ -181,13 +183,13 @@ def _index_rows(
 _VIDEO_REPORT_PAIRS = (("_roi2.mp4", "_roi2_report.xlsx"), (".mp4", "_report.xlsx"))


-def _check_case_dir(case_no: str, folder: Path) -> str | SkipRecord:
-    """C04：通过时返回这一例单例报告表的文件名。"""
+def _check_case_dir(case_no: str, folder: Path) -> tuple[str, str] | SkipRecord:
+    """C04：通过时返回这一例（视频文件名，单例报告表文件名）。"""
    u = video_id(case_no)
    names = sorted(p.name for p in folder.iterdir())
    for video, report in _VIDEO_REPORT_PAIRS:
        if names == sorted((f"{u}_key.png", f"{u}{video}", f"{u}{report}")):
-            return f"{u}{report}"
+            return f"{u}{video}", f"{u}{report}"
    return _skip(case_no, "C04", (case_dir_path(case_no),), (), {"文件": names})


@@ -336,9 +338,10 @@ def _check_case(
    folder = delivery_dir / case_dir_path(case_no)
    u = video_id(case_no)

-    report_name = _check_case_dir(case_no, folder)
-    if isinstance(report_name, SkipRecord):
-        return report_name
+    dir_files = _check_case_dir(case_no, folder)
+    if isinstance(dir_files, SkipRecord):
+        return dir_files
+    video_name, report_name = dir_files

    if ultrasound["CEUS视频ID"] != u:
        value = {"CEUS视频ID": ultrasound["CEUS视频ID"], "病例号": case_no}
@@ -370,7 +373,8 @@ def _check_case(
        if (skip := _text_hits(case_no, check, reports, find)) is not None:
            return skip

-    # C07 已保证临床各列是整数、浮点数或空；C07–C10 已保证三个诊断是相等的整数。
+    # C07 已保证临床各列是整数、浮点数或空；C07–C10 已保证三个诊断是相等的整数；
+    # C08 已保证推注时间是非负整数。
    return CaseRecord(
        case_no=case_no,
        video_id=u,
@@ -378,6 +382,8 @@ def _check_case(
        ultrasound_report=reports[ULTRASOUND],
        mr_report=reports[MR],
        key_image=folder / f"{u}_key.png",
+        video=folder / video_name,
+        bolus_start_s=cast(int, bolus),
        diagnosis=DiagnosisCodes(
            clinical=cast(int, clinical["Diagnosis"]),
            ultrasound=cast(int, ultrasound[DIAGNOSIS_HEADER]),
@@ -5,6 +5,6 @@
 """

 from cadx.segment._config import SegmentConfig
-from cadx.segment._medsam2 import medsam2_commit, segment_video
+from cadx.segment._medsam2 import cuda_peak_memory_bytes, medsam2_commit, segment_video

-__all__ = ["SegmentConfig", "medsam2_commit", "segment_video"]
+__all__ = ["SegmentConfig", "cuda_peak_memory_bytes", "medsam2_commit", "segment_video"]
@@ -45,6 +45,19 @@ def medsam2_commit(medsam2_dir: Path) -> str:
    return completed.stdout.decode().strip()


+def cuda_peak_memory_bytes(device: str) -> int | None:
+    """本进程从启动起在 `device` 上分配过的显存峰值（字节，`torch.cuda.max_memory_allocated`）。
+
+    `device` 不是 CUDA 设备时返回 None；本进程还没初始化过 CUDA（比如分割全部读了缓存）时返回 0，
+    不为了查询去初始化显卡。
+    """
+    if not device.startswith("cuda"):
+        return None
+    if not torch.cuda.is_initialized():
+        return 0
+    return int(torch.cuda.max_memory_allocated(device))
+
+
 def _check_inputs(
    frames: Sequence[Frame], prompt_masks: Mapping[int, Mask], cfg: SegmentConfig
 ) -> tuple[int, int]:
@@ -0,0 +1,286 @@
+"""`scripts/ceus_quant.py`：逐例循环、failed.csv、输出布局、分割缓存。
+
+假交付包两例：第 1 例是能过质量门的合成分屏造影视频（造影在右半，绿框是病灶的空心描边），第 2 例
+同样的画面但没有绿框。分割换成计数的假函数（monkeypatch 脚本里引用的 `segment_video`），交出病灶
+方块挪到左半局部坐标的掩码，不调显卡。
+
+手算的预期（视频 400×200、10 fps、40 秒，推注时间 X = 5 秒，同 test_ceus_pipeline）：
+- 第 2 例两半都没有绿框 → 第 2 步失败，进 failed.csv，没有输出目录，也不调分割；
+- 第 1 例 F1 在视频第 20 − 5 = 15 秒，有关键帧图；F2 在第 55 秒，超出视频，未定位，没有图。
+"""
+
+import csv
+import importlib.util
+import json
+from collections.abc import Callable, Mapping, Sequence
+from pathlib import Path
+from types import ModuleType
+from typing import Any
+
+import cv2
+import numpy as np
+import numpy.typing as npt
+import pytest
+import yaml
+
+from cadx.ceus import ANCHOR_SLOTS, LognormalParameters, evaluate_lognormal
+from conftest import CEUS_YAML
+from fake_delivery import make_delivery
+
+_SCRIPT = Path(__file__).resolve().parents[1] / "scripts" / "ceus_quant.py"
+_WIDTH, _HEIGHT, _SPLIT = 400, 200, 200
+_FPS, _FRAMES = 10.0, 400
+_LESION = (250, 60, 369, 159)  # 整帧坐标 x1, y1, x2, y2（含端点）
+_CYST = (290, 95, 320, 125)
+_BOLUS = LognormalParameters(area=1300.0, mu=2.4, sigma=0.45, arrival_offset_s=4.0, baseline=40.0)
+
+
+def _load_script() -> ModuleType:
+    spec = importlib.util.spec_from_file_location("ceus_quant", _SCRIPT)
+    assert spec is not None and spec.loader is not None
+    module = importlib.util.module_from_spec(spec)
+    spec.loader.exec_module(module)
+    return module
+
+
+def _write_video(path: Path, green_box: bool) -> None:
+    rng = np.random.default_rng(3)
+    intensity = evaluate_lognormal(np.arange(_FRAMES) / _FPS, _BOLUS)
+    writer = cv2.VideoWriter(str(path), cv2.VideoWriter.fourcc(*"mp4v"), _FPS, (_WIDTH, _HEIGHT))
+    x1, y1, x2, y2 = _LESION
+    for index in range(_FRAMES):
+        frame = np.zeros((_HEIGHT, _WIDTH, 3), dtype=np.uint8)
+        frame[:, :_SPLIT] = 120
+        frame[:, _SPLIT + 1 :] = 30
+        lesion = np.clip(
+            intensity[index] + rng.normal(0.0, 6.0, (y2 - y1 + 1, x2 - x1 + 1)), 0, 255
+        )
+        frame[y1 : y2 + 1, x1 : x2 + 1] = lesion.astype(np.uint8)[:, :, None]
+        cx1, cy1, cx2, cy2 = _CYST
+        frame[cy1 : cy2 + 1, cx1 : cx2 + 1] = 10
+        if green_box:
+            cv2.rectangle(frame, (x1, y1), (x2, y2), (0, 255, 0), thickness=3)
+        writer.write(frame)
+    writer.release()
+
+
+def _config_dict(tmp_path: Path, delivery_dir: Path) -> dict[str, Any]:
+    document: dict[str, Any] = yaml.safe_load(CEUS_YAML.read_text(encoding="utf-8"))
+    document["paths"] = {
+        "delivery_dir": str(delivery_dir),
+        "runs_root": str(tmp_path / "runs"),
+        "work_root": str(tmp_path / "work"),
+    }
+    checkpoint = tmp_path / "fake_checkpoint.pt"
+    checkpoint.write_bytes(b"fake weights")
+    document["segment"].update(
+        {"medsam2_dir": str(tmp_path / "MedSAM2"), "checkpoint": str(checkpoint), "device": "cpu"}
+    )
+    return document
+
+
+def _write_config(tmp_path: Path, document: dict[str, Any], name: str) -> Path:
+    path = tmp_path / name
+    path.write_text(yaml.safe_dump(document, allow_unicode=True), encoding="utf-8")
+    return path
+
+
+class _CountingSegment:
+    """假分割：每帧都是病灶方块挪到左半局部坐标后的位置（略往里收 3 像素）。"""
+
+    def __init__(self) -> None:
+        self.calls = 0
+
+    def __call__(
+        self,
+        frames: Sequence[npt.NDArray[np.uint8]],
+        prompt_masks: Mapping[int, npt.NDArray[np.bool_]],
+        cfg: object,
+    ) -> npt.NDArray[np.bool_]:
+        self.calls += 1
+        height, width = frames[0].shape[:2]
+        masks = np.zeros((len(frames), height, width), dtype=bool)
+        x1, y1, x2, y2 = _LESION
+        masks[:, y1 + 3 : y2 - 2, x1 - _SPLIT + 3 : x2 - _SPLIT - 2] = True
+        return masks
+
+
+@pytest.fixture
+def setup(
+    tmp_path: Path, monkeypatch: pytest.MonkeyPatch
+) -> tuple[ModuleType, _CountingSegment, dict[str, Any], Callable[[str], None]]:
+    """写假交付包（两例真视频），载入脚本并换掉分割、MedSAM2 提交号和运行号。"""
+    delivery_dir = make_delivery(2).write(tmp_path / "delivery")
+    _write_video(delivery_dir / "CEUS_agent" / "001" / "U001_roi2.mp4", green_box=True)
+    _write_video(delivery_dir / "CEUS_agent" / "002" / "U002_roi2.mp4", green_box=False)
+    module = _load_script()
+    segment = _CountingSegment()
+    monkeypatch.setattr(module, "segment_video", segment)
+    run_ids: list[str] = []
+
+    def fake_commit(medsam2_dir: Path) -> str:
+        return "c" * 40
+
+    def fake_run_id(now: object, git: object) -> str:
+        return run_ids[-1]
+
+    monkeypatch.setattr(module, "medsam2_commit", fake_commit)
+    monkeypatch.setattr(module, "make_build_id", fake_run_id)
+    return module, segment, _config_dict(tmp_path, delivery_dir), run_ids.append
+
+
+def test_run_writes_outputs_and_failed_case(
+    tmp_path: Path,
+    setup: tuple[ModuleType, _CountingSegment, dict[str, Any], Callable[[str], None]],
+    capsys: pytest.CaptureFixture[str],
+) -> None:
+    module, segment, document, next_run_id = setup
+    next_run_id("run-a")
+    module.main(["--config", str(_write_config(tmp_path, document, "ceus.yaml"))])
+
+    run_dir = tmp_path / "runs" / "run-a"
+    assert sorted(p.name for p in (tmp_path / "runs").iterdir()) == ["run-a"]
+    with (run_dir / "failed.csv").open(encoding="utf-8", newline="") as handle:
+        rows = list(csv.reader(handle))
+    assert rows[0] == ["video_id", "step", "reason"]
+    assert [row[:2] for row in rows[1:]] == [["U002", "2"]]
+    assert "都没有" in rows[1][2]
+    assert not (run_dir / "U002").exists()
+    assert segment.calls == 1
+
+    case_dir = run_dir / "U001"
+    for name in ("trajectory.npz", "tic_curves.npz", "summary.json", "tic.png", "overlay.mp4"):
+        assert (case_dir / name).stat().st_size > 0, name
+    summary = json.loads((case_dir / "summary.json").read_text(encoding="utf-8"))
+    assert summary["video_id"] == "U001"
+    assert summary["injection_offset_s"] == 5.0
+    assert list(summary["anchor_frames"]) == list(ANCHOR_SLOTS)
+    assert summary["perfusion_metrics"]["roi_perf"] is not None
+    assert "pan_detected_fraction" in summary
+    assert summary["anchor_frames"]["F2"]["status"] == "not_covered"
+    located = {s for s, a in summary["anchor_frames"].items() if a["frame_index"] is not None}
+    assert "F1" in located and "F2" not in located
+    keyframes = {p.stem for p in (case_dir / "keyframes").iterdir()}
+    assert keyframes == located
+    image = cv2.imread(str(case_dir / "keyframes" / "F1.png"))
+    assert image is not None and image.shape == (_HEIGHT, _WIDTH, 3)  # 整幅原始画面
+
+    snapshot = run_dir / "snapshot"
+    assert (snapshot / "ceus.yaml").read_bytes() == (tmp_path / "ceus.yaml").read_bytes()
+    segment_record = json.loads((snapshot / "segment.json").read_text(encoding="utf-8"))
+    assert segment_record["medsam2_commit"] == "c" * 40
+    assert segment_record["cuda_peak_memory_bytes"] is None  # device 是 cpu
+    assert (snapshot / "snapshot.json").is_file()
+
+    out = capsys.readouterr().out
+    assert "成功：1" in out and "第 2 步 1" in out
+    assert "U001" not in out and "U002" not in out
+
+
+def test_unreadable_video_fails_at_step_1_and_next_case_runs(
+    tmp_path: Path,
+    monkeypatch: pytest.MonkeyPatch,
+    setup: tuple[ModuleType, _CountingSegment, dict[str, Any], Callable[[str], None]],
+) -> None:
+    module, segment, document, next_run_id = setup
+    # 第 1 例换成损坏的视频（cv2 打不开），第 2 例换成正常视频。
+    videos = Path(document["paths"]["delivery_dir"]) / "CEUS_agent"
+    (videos / "001" / "U001_roi2.mp4").write_bytes(b"not a real video")
+    _write_video(videos / "002" / "U002_roi2.mp4", green_box=True)
+    next_run_id("run-a")
+    module.main(["--config", str(_write_config(tmp_path, document, "ceus.yaml"))])
+
+    run_dir = tmp_path / "runs" / "run-a"
+    with (run_dir / "failed.csv").open(encoding="utf-8", newline="") as handle:
+        rows = list(csv.reader(handle))
+    assert [row[:2] for row in rows[1:]] == [["U001", "1"]]
+    assert "打不开" in rows[1][2]
+    assert not (run_dir / "U001").exists()
+    assert (run_dir / "U002" / "summary.json").is_file()
+    assert segment.calls == 1
+
+
+def test_segment_cache_reused_and_keyed_on_step_1_3_params(
+    tmp_path: Path,
+    setup: tuple[ModuleType, _CountingSegment, dict[str, Any], Callable[[str], None]],
+) -> None:
+    module, segment, document, next_run_id = setup
+    config = _write_config(tmp_path, document, "ceus.yaml")
+    next_run_id("run-a")
+    module.main(["--config", str(config)])
+    assert segment.calls == 1
+    cache = tmp_path / "work" / "segment_cache"
+    assert [p.name.endswith(".partial") for p in cache.iterdir()] == [False]
+
+    next_run_id("run-b")
+    module.main(["--config", str(config)])
+    assert segment.calls == 1  # 同样的输入，读缓存
+    # 同一进程里第二次跑（cv2 的随机数已被第一次推进过）结果也逐位相同：quantify_case 每例重设种子。
+    first = json.loads((tmp_path / "runs/run-a/U001/summary.json").read_text(encoding="utf-8"))
+    second = json.loads((tmp_path / "runs/run-b/U001/summary.json").read_text(encoding="utf-8"))
+    assert first == second
+
+    # 改设备不改结果，不重算；改第 1 步的参数，键变了，重新分割。
+    document["segment"]["device"] = "cuda:0"
+    document["segment"]["offload_state_to_cpu"] = True
+    next_run_id("run-c")
+    module.main(["--config", str(_write_config(tmp_path, document, "device.yaml"))])
+    assert segment.calls == 1
+    document["ceus"]["views"]["split_sample_frames"] = 20
+    next_run_id("run-d")
+    module.main(["--config", str(_write_config(tmp_path, document, "views.yaml"))])
+    assert segment.calls == 2
+    assert len(list(cache.iterdir())) == 2
+
+
+def test_existing_run_directory_is_not_overwritten(
+    tmp_path: Path,
+    setup: tuple[ModuleType, _CountingSegment, dict[str, Any], Callable[[str], None]],
+) -> None:
+    module, _, document, next_run_id = setup
+    config = _write_config(tmp_path, document, "ceus.yaml")
+    next_run_id("run-a")
+    module.main(["--config", str(config)])
+    before = sorted(str(p) for p in (tmp_path / "runs").rglob("*"))
+    with pytest.raises(FileExistsError, match="运行目录已存在"):
+        module.main(["--config", str(config)])
+    assert sorted(str(p) for p in (tmp_path / "runs").rglob("*")) == before
+
+
+def _key(module: ModuleType, document: dict[str, Any]) -> str:
+    config = module.QuantConfig.model_validate(document)
+    return module.segment_cache_key("v" * 64, config, "w" * 64, "c" * 40)
+
+
+@pytest.mark.parametrize(
+    ("section", "path", "value", "changes"),
+    [
+        ("ceus", ("views", "split_search_band"), [0.3, 0.7], True),
+        ("ceus", ("prompt_source", "min_area"), 9000, True),
+        ("ceus", ("keyframes", "iou_threshold"), 0.9, True),
+        ("segment", ("sam2_config",), "configs/other.yaml", True),
+        ("segment", ("checkpoint",), "models/other.pt", True),
+        ("segment", ("device",), "cuda:1", False),
+        ("segment", ("offload_video_to_cpu",), True, False),
+        ("ceus", ("smoothing", "temporal_window"), 9, False),  # 第 4 步
+        ("ceus", ("tic_analysis", "fitting", "minimum_r2"), 0.5, False),  # 第 7 步
+    ],
+)
+def test_cache_key_covers_exactly_step_1_3_params(
+    tmp_path: Path,
+    section: str,
+    path: tuple[str, ...],
+    value: object,
+    changes: bool,
+) -> None:
+    module = _load_script()
+    document = _config_dict(tmp_path, tmp_path)
+    base = _key(module, document)
+    node = document[section]
+    for name in path[:-1]:
+        node = node[name]
+    node[path[-1]] = value
+    assert (_key(module, document) != base) is changes
+    assert _key(module, document) == _key(module, document)  # 同输入同键
+    other = module.QuantConfig.model_validate(document)
+    assert module.segment_cache_key("x" * 64, other, "w" * 64, "c" * 40) != _key(module, document)
@@ -418,3 +418,19 @@ def test_skip_record_names_file_and_column(tmp_path: Path) -> None:
    assert record.files == (ULTRASOUND_PATH,)
    assert record.columns == ("推注开始时间s",)
    assert record.value_json == '{"推注开始时间s": 2.5}'
+
+
+def test_case_record_carries_video_path_and_bolus_time(tmp_path: Path) -> None:
+    delivery = make_delivery(3)
+    delivery.case(2).dir_files = ["U002_key.png", "U002.mp4", "U002_report.xlsx"]
+    delivery.case(3).ultrasound["推注开始时间s"] = 0  # 0 是合法取值：视频第 0 秒正好推注
+    root = delivery.write(tmp_path / "delivery")
+    result = read_delivery(root, None)
+    folder = root / "CEUS_agent"
+    assert [c.video for c in result.cases] == [
+        folder / "001" / "U001_roi2.mp4",
+        folder / "002" / "U002.mp4",
+        folder / "003" / "U003_roi2.mp4",
+    ]
+    # 假交付包的推注时间是 5，第 3 例改成 0。
+    assert [c.bolus_start_s for c in result.cases] == [5, 5, 0]