/** * ============================================================================ * KetaPK - Moteur Pharmacocinétique (PK/PD) * Modèles : Domino (1982), Clements (1981), Kamp (2020) * ============================================================================ */ export const MODES = { ESKETAMINE: 'ESKETAMINE', RACEMIQUE: 'RACEMIQUE' }; // 1. Modèles Pharmacocinétiques (Multi-exponentiels) // Cp(t) = (Dose / Poids) * [ A * e^(-alpha * t) + B * e^(-beta * t) + C * e^(-gamma * t) ] export const PK_MODELS = { DOMINO: { name: "Domino (1982)", refDose: 2.0, // mg/kg A: 14300, alpha: 1.35167, B: 2340, beta: 0.09517, C: 197, gamma: 0.00378, color: '#ff9933' // Orange }, CLEMENTS: { name: "Clements (1981)", refDose: 0.25, // mg/kg A: 108, alpha: 0.03940, B: 39, beta: 0.00380, C: 0, gamma: 0, color: '#6ec46c' // Vert }, KAMP: { name: "Kamp (2020)", refDose: 0.5, // mg/kg A: 1332, alpha: 0.24658, B: 155, beta: 0.03845, C: 69, gamma: 0.00409, color: '#4fafe3' // Bleu } }; // 2. Seuils d'effets cliniques (ng/mL) export const CLINICAL_THRESHOLDS = { [MODES.ESKETAMINE]: { maxScale: 500, defaultConcentration: 5, // mg/mL zones: [ { name: "Inactif", min: 0, max: 10, color: "rgba(249, 252, 126, 0.4)", textHex: "#8a8d00" }, { name: "Anti-Hyperalgésique", min: 10, max: 50, color: "rgba(218, 247, 166, 0.4)", textHex: "#417505" }, { name: "Analgésie", min: 50, max: 150, color: "rgba(255, 195, 0, 0.4)", textHex: "#b78100" }, { name: "Psychédélique", min: 150, max: 350, color: "rgba(242, 160, 223, 0.4)", textHex: "#a2137f" }, { name: "Émergence", min: 350, max: 500, color: "rgba(89, 196, 240, 0.4)", textHex: "#0c6796" }, { name: "Narcose", min: 500, max: 1000, color: "rgba(43, 122, 244, 0.4)", textHex: "#0a3c8a" }, { name: "Excessif", min: 1000, max: Infinity, color: "rgba(255, 87, 51, 0.4)", textHex: "#a81300" } ] }, [MODES.RACEMIQUE]: { maxScale: 1000, defaultConcentration: 10, // mg/mL zones: [ { name: "Inactif", min: 0, max: 20, color: "rgba(249, 252, 126, 0.4)", textHex: "#8a8d00" }, { name: "Anti-Hyperalgésique", min: 20, max: 100, color: "rgba(218, 247, 166, 0.4)", textHex: "#417505" }, { name: "Analgésie", min: 100, max: 300, color: "rgba(255, 195, 0, 0.4)", textHex: "#b78100" }, { name: "Psychédélique", min: 300, max: 700, color: "rgba(242, 160, 223, 0.4)", textHex: "#a2137f" }, { name: "Émergence", min: 700, max: 1000, color: "rgba(89, 196, 240, 0.4)", textHex: "#0c6796" }, { name: "Narcose", min: 1000, max: 2000, color: "rgba(43, 122, 244, 0.4)", textHex: "#0a3c8a" }, { name: "Excessif", min: 2000, max: Infinity, color: "rgba(255, 87, 51, 0.4)", textHex: "#a81300" } ] } }; // 3. Équation Fondamentale du Calcul de la Concentration Plasmatique Cp(t) /** * Calcule la réponse impulsionnelle pour un bolus unique à un instant t. * $C_p(t) = \frac{\text{dose}}{\text{poids}} \times \left( A \cdot e^{-\alpha t} + B \cdot e^{-\beta t} + C \cdot e^{-\gamma t} \right)$ */ export function calculateBolusCp(model, doseMg, weightKg, timeElapsedMin) { if (timeElapsedMin < 0 || weightKg <= 0) return 0; const dosePerKg = doseMg / weightKg; const { A, alpha, B, beta, C, gamma } = model; const termA = A * Math.exp(-alpha * timeElapsedMin); const termB = B * Math.exp(-beta * timeElapsedMin); const termC = C * (gamma ? Math.exp(-gamma * timeElapsedMin) : 0); return dosePerKg * (termA + termB + termC); } /** * Superposition Linéaire des effets (Bolus multiples + Perfusions) sur 300 minutes (pas de 5 min) */ export function generateSimulationData({ model, weightKg, timelineInputs }) { // timelineInputs : tableau de 61 pas de temps (0 à 300 min par pas de 5 min) // { time: 0..300, bolusMg: number, perfRateMgKgH: number } const timeGrid = Array.from({ length: 61 }, (_, i) => i * 5); const cpResults = new Array(61).fill(0); timeGrid.forEach((targetTime, targetIndex) => { let totalCp = 0; for (let i = 0; i <= targetIndex; i++) { const inputTime = timeGrid[i]; const deltaTime = targetTime - inputTime; const input = timelineInputs[i] || { bolusMg: 0, perfRateMgKgH: 0 }; // Contribution du Bolus if (input.bolusMg > 0) { totalCp += calculateBolusCp(model, input.bolusMg, weightKg, deltaTime); } // Contribution de la perfusion continue (discrétisée sur le pas de 5 min) if (input.perfRateMgKgH > 0) { // mg/kg/h converti en mg sur l'intervalle de 5 min (5/60 heure) const perfDoseMg = (input.perfRateMgKgH * weightKg) * (5 / 60); totalCp += calculateBolusCp(model, perfDoseMg, weightKg, deltaTime); } } cpResults[targetIndex] = Math.round(totalCp * 100) / 100; }); return cpResults; } // 4. Fonctions de Calculateur Médical (Conversions d'unités) export const CalculatorEngine = { mgToMgKg: (mg, weight) => (weight > 0 ? mg / weight : 0), mgKgToMg: (mgKg, weight) => mgKg * weight, mgKgHToMicrogKgMin: (mgKgH) => (mgKgH * 1000) / 60, microgKgMinToMgKgH: (microg) => (microg * 60) / 1000, mgToMl: (mg, concMgMl) => (concMgMl > 0 ? mg / concMgMl : 0), mlToMg: (ml, concMgMl) => ml * concMgMl };