ketapk/frontend/js/pkCore.js

/**
 * ============================================================================
 * KétaPK - Pharmacokinetic Engine (PK/PD)
 * Models: Domino (1982), Clements (1981), Kamp (2020)
 * ============================================================================
 */

/**
 * Single application version (centralized)
 */
export const APP_VERSION = '0.19.0';

export const MODES = {
  ESKETAMINE: 'ESKETAMINE',
  RACEMIQUE: 'RACEMIQUE'
};

// Multi-exponential models
export const PK_MODELS = {
  DOMINO: {
    name: "Domino (1982)",
    refDose: 2.0,
    A: 14300, alpha: 1.35167,
    B: 2340,  beta:  0.09517,
    C: 197,   gamma: 0.00378,
    color: '#ff9933'
  },
  CLEMENTS: {
    name: "Clements (1981)",
    refDose: 0.25,
    A: 108,   alpha: 0.03940,
    B: 39,    beta:  0.00380,
    C: 0,     gamma: 0,
    color: '#6ec46c'
  },
  KAMP: {
    name: "Kamp (2020)",
    refDose: 0.5,
    A: 1332,  alpha: 0.24658,
    B: 155,   beta:  0.03845,
    C: 69,    gamma: 0.00409,
    color: '#4fafe3'
  }
};

// Clinical effect zones and thresholds (ng/mL)
export const CLINICAL_THRESHOLDS = {
  [MODES.ESKETAMINE]: {
    maxScale: 500,
    defaultConcentration: 5,
    zones: [
      { zoneKey: "inactive", min: 0, max: 10, color: "#a0aa92", textHex: "#2a3110" },
      { zoneKey: "anti_hyperalgesic", min: 10, max: 50, color: "#9eb062", textHex: "#243f11" },
      { zoneKey: "analgesia", min: 50, max: 150, color: "#ae8b24", textHex: "#442900" },
      { zoneKey: "psychedelic", min: 150, max: 350, color: "#9a4697", textHex: "#2e072a" },
      { zoneKey: "emergence", min: 350, max: 500, color: "#368ea6", textHex: "#002734" },
      { zoneKey: "narcosis", min: 500, max: 1000, color: "#086d9f", textHex: "#ffffff" },
      { zoneKey: "excessive", min: 1000, max: Infinity, color: "#bb3737", textHex: "#ffffff" }
    ]
  },
  [MODES.RACEMIQUE]: {
    maxScale: 1000,
    defaultConcentration: 10,
    zones: [
      { zoneKey: "inactive", min: 0, max: 20, color: "#a0aa92", textHex: "#2a3110" },
      { zoneKey: "anti_hyperalgesic", min: 20, max: 100, color: "#9eb062", textHex: "#243f11" },
      { zoneKey: "analgesia", min: 100, max: 300, color: "#ae8b24", textHex: "#442900" },
      { zoneKey: "psychedelic", min: 300, max: 700, color: "#9a4697", textHex: "#2e072a" },
      { zoneKey: "emergence", min: 700, max: 1000, color: "#368ea6", textHex: "#002734" },
      { zoneKey: "narcosis", min: 1000, max: 2000, color: "#086d9f", textHex: "#ffffff" },
      { zoneKey: "excessive", min: 2000, max: Infinity, color: "#bb3737", textHex: "#ffffff" }
    ]
  }
};

// Supported infusion units
export const INFUSION_UNITS = {
  MG_KG_H: 'mg_kg_h',     // mg/kg/h
  MCG_KG_MIN: 'mcg_kg_min',// µg/kg/min
  MG_H: 'mg_h'            // mg/h
};

/**
 * Calculates the dose in mg administered over a 5-minute interval
 */
export function calculate5MinInfusionDose(rate, unit, weight) {
  if (!rate || rate <= 0) return 0;

  switch (unit) {
    case INFUSION_UNITS.MG_KG_H:
      return (rate * weight) / 12;
    case INFUSION_UNITS.MCG_KG_MIN:
      return (rate * weight * 5) / 1000;
    case INFUSION_UNITS.MG_H:
      return rate / 12;
    default:
      return (rate * weight) / 12;
  }
}

/**
 * Calculation of a single bolus at time t, accounting for refDose
 */
export function calculateBolusCp(model, doseMg, weightKg, timeElapsedMin) {
  if (timeElapsedMin < 0 || weightKg <= 0 || !model.refDose) return 0;

  const dosePerKg = doseMg / weightKg;
  const { A, alpha, B, beta, C, gamma, refDose } = model;

  const termA = A * Math.exp(-alpha * timeElapsedMin);
  const termB = B * Math.exp(-beta * timeElapsedMin);
  const termC = C * (gamma ? Math.exp(-gamma * timeElapsedMin) : 0);

  // Division by refDose to match the exact Excel formula
  return (dosePerKg / refDose) * (termA + termB + termC);
}

/**
 * Propagates the active infusion across the timeline (5-min steps)
 */
export function processTimelineEvents(timelineInputs, weightKg, infusionUnit) {
  let currentRate = 0;

  return timelineInputs.map((item) => {
    const isExplicit = item.perfRate !== undefined && item.perfRate !== null && item.perfRate !== '';
    if (isExplicit) {
      const parsed = parseFloat(item.perfRate);
      currentRate = isNaN(parsed) ? 0 : parsed;
    }

    const bolusMg = parseFloat(item.bolusMg) || 0;
    const infusionMg5Min = calculate5MinInfusionDose(currentRate, infusionUnit, weightKg);

    return {
      time: item.time,
      bolusMg: bolusMg,
      infusionRate: currentRate,
      isExplicit: isExplicit,
      infusionMg5Min: infusionMg5Min
    };
  });
}

/**
 * Converts the current infusion rate to mg/kg/min, regardless of the input unit
 */
function infusionRateToMgKgPerMin(rate, unit, weightKg) {
  if (!rate || rate <= 0) return 0;

  switch (unit) {
    case INFUSION_UNITS.MG_KG_H:
      return rate / 60;
    case INFUSION_UNITS.MCG_KG_MIN:
      return rate / 1000;
    case INFUSION_UNITS.MG_H:
      return weightKg > 0 ? (rate / weightKg) / 60 : 0;
    default:
      return rate / 60;
  }
}

/**
 * Exact resolution (discretized recursive method, cf. KétaPK formula) of boluses and
 * infusions (with variable rate) across the timeline, ng/mL rounded to the nearest integer.
 */
export function generateSimulationData({ model, weightKg, timelineInputs, infusionUnit = INFUSION_UNITS.MG_KG_H }) {
  const processedTimeline = processTimelineEvents(timelineInputs, weightKg, infusionUnit);
  const { A, alpha, B, beta, C, gamma, refDose } = model;
  const cpResults = [];

  if (weightKg <= 0 || !refDose) {
    return processedTimeline.map(event => ({ time: event.time, cp: 0 }));
  }

  let X1 = 0, X2 = 0, X3 = 0;

  processedTimeline.forEach((event, index) => {
    if (event.bolusMg > 0) {
      const scaledDose = (event.bolusMg / weightKg) / refDose;
      X1 += A * scaledDose;
      X2 += B * scaledDose;
      X3 += gamma ? C * scaledDose : 0;
    }

    cpResults.push({
      time: event.time,
      cp: Math.round(X1 + X2 + X3)
    });

    const nextEvent = processedTimeline[index + 1];
    if (!nextEvent) return;

    const deltaT = nextEvent.time - event.time;
    // Excel applies the declared rate at the end of the interval (arrival column), not the starting one
    const Rn = infusionRateToMgKgPerMin(nextEvent.infusionRate, infusionUnit, weightKg) / refDose;

    const Falpha = Math.exp(-alpha * deltaT);
    const Fbeta = Math.exp(-beta * deltaT);

    X1 = Falpha * X1 + (A / alpha) * (1 - Falpha) * Rn;
    X2 = Fbeta * X2 + (B / beta) * (1 - Fbeta) * Rn;

    if (gamma) {
      const Fgamma = Math.exp(-gamma * deltaT);
      X3 = Fgamma * X3 + (C / gamma) * (1 - Fgamma) * Rn;
    }
  });

  return cpResults;
}

// Dose conversion engine
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
};