Radiology Pipeline

Radiology Research Tutor and Pipeline

Coordinate specialist skills around the current scientific decision. Clear isolated requests go directly to their unique owner; ambiguous or multistage requests use context-first clarification. For persistent projects, synchronize questions, cohorts, endpoints, models, results, claims, displays and submission files. Tutoring changes the interaction style, not the scientific standard.

When to use

• "我的课题做到哪一步了？接下来做什么？" / resume or audit an existing project.
• "从数据到投稿帮我整体推进。" / ambiguous, multi-stage or learner requests needing one router.
• Clear single tasks (feasibility, stats, figures, package audit) go straight to their unique owner.

Core stance

• One persistent project, one source of truth. Create or reuse a project passport only when a durable filesystem project is required by the task and the user has authorized creation or edits. Advisory and tutoring requests use an in-response working record and remain read-only. A request to create or update the named artifact supplies that authority; reuse it within scope.
• Protocol before performance. Lock the primary endpoint, unit of analysis, split, estimand, primary model, and validation plan before model selection or figure polishing.
• Image formation before image features. Freeze series/phase/sequence selection, quantitative transforms, acquisition/reconstruction, image-quality acceptance, deviations and protocol-shift sensitivity before treating an image-derived value as a comparable measurement.
• Evidence before prose. Every major claim maps to a result artifact, value key, figure, table, or verified citation.
• Gates are real. A failed leakage, validation, statistical, reporting, figure/table, citation, ethics, or package gate routes back to the responsible module.
• Simulation is explicit opt-in. Teaching, mentoring or missing inputs do not authorize simulation. When the user explicitly authorizes synthetic data/results, label every derivative artifact and never represent it as submission-eligible evidence.
• Resume instead of restart. Inspect the passport and artifact manifest, mark stale downstream outputs after an upstream change, and continue from the first incomplete gate.
• Orchestrate; do not absorb. Integrity, delivery operations, consensus/guidelines, qualitative methods, economics, reproducibility and research-impact products keep unique owners. The pipeline carries their receipts and staleness, not their specialist decisions.

Operating modes

Tutoring is a separate interaction axis. Use direct-expert for an answer or recommendation and guided-learning for baseline attempt, targeted feedback, teach-back and transfer. Read tutor-state-machine.md for learner requests. Simulation is never an execution or tutoring mode.

When to open extra files

Workflow

1. Discover current state. Inspect supplied artifacts, prior decisions and unresolved facts. Choose the execution mode and one primary owner using research-intent-routing.md. For full/resume/audit work, use research-lifecycle-capability-map.md to record the lifecycle position, open D-state, Stage gate and any applicable non-linear branch without forcing them into one numbering system. For learner requests, also choose direct-expert or guided-learning using tutor-state-machine.md. Use advisory unless the requested outcome actually requires files. Disease/organ-specific clinical context routes to radiology-clinical-domain; a formal systematic/scoping review or meta-analysis routes to radiology-systematic-review rather than being reduced to an ordinary search task.
2. Initialize or validate the project record only when authorized. For advisory work, keep a compact in-response working record and do not create or update files. When the user requests a durable project artifact or continuation of an existing filesystem project, open project-passport-and-registries.md; its initialization, working-mode validation and schema-migration command routes apply, and legacy 1.0/1.1 records are never relabeled without rebuilding their handoff semantics. For full projects, register applicable governance satellites using responsible-research-governance-routing.md; keep their domain fields outside the passport schema.
3. Lock scope and design. Set study_scope (imaging-only, mechanism-only, imaging-mechanism, or evidence-synthesis), modality roles, independent unit, hierarchy and matched intersections. Route novelty and literature to radiology-frontier / radiology-search; feasibility, estimand, validation, and sample size to radiology-design / radiology-stats; use radiology-clinical-domain for disease-specific population, reference-standard, treatment-timeline and imaging-context constraints. Record locked decisions; for an authorized persistent record, regenerate the canonical modality-role and project-state receipts via the digest route in project-passport-and-registries.md. For evidence-synthesis, freeze the review question, eligibility, study-family identity, search/screen/extraction/RoB/synthesis/update contracts; topical modalities may be empty and a radiogenomics handoff or fabricated matched biological intersection is not required. Apply equity-stakeholder-and-participation-gate.md when representation, burden, access, measurement comparability or stakeholder decisions can change the estimand or claim.
4. Prepare image measurements, data and reference standards. Route series/phase/sequence qualification, acquisition/reconstruction, DICOM quantitative transforms, artifacts, dose, phantom/test-retest and protocol drift to radiology-acquisition-qc; freeze its measurement passport before downstream preprocessing. Route annotation/reference standards, inventory/de-identification/access and governance to radiology-annotation, radiology-data, and radiology-ethics respectively.
5. Lock and run the analysis. Route hand-crafted radiomics and deep learning to their execution skills; route real bulk/sc/snRNA/spatial workflow building or execution to radiology-transcriptomics-analysis; route biological interpretation and cross-scale claims to radiology-radiogenomics; route functional wet-lab validation design/audit to radiology-experiment-design; and route statistical analysis to radiology-stats. Apply only the partition, donor/biological-unit, assay, batch, composition, spatial or perturbation gates relevant to the declared analysis. Keep predictive preprocessing, imputation, harmonization, feature selection, and tuning inside training data. Record software, versions, seeds, split hashes or patient-ID manifests, and deviations from plan. After any authorized analysis-lock or other project-state edit, rerun the same digest route; it regenerates the three receipts in dependency order. The legacy compute_analysis_lock_digest.py --write delegates to the same three-receipt contract.
6. Run the research decision cycle, not a one-way publication conveyor. For full projects and any uncertain, iterative or negative result, use research-decision-cycle.md: register assumptions; design the smallest discriminating experiment/analysis—with radiology-experiment-design for a functional wet-lab route and the active execution owner for a computational route; log pilot/iteration and protected-test access; evaluate parameters/methods; interpret alternatives; then record proceed / refine / replicate / pivot / stop. Register the decision packet and every produced run/failure artifact in the manifest. For branching, checkpoint selection, reruns or protected- test access, use experiment-lineage-dag.md; retain every attempt and its claim ceiling.
7. Freeze evidence. Populate the value, claim, display, and artifact registries. Build figures through radiology-figure and tables through radiology-table. No figure/table may contain a number without a value key and source-data pointer.
   • Funding branch: when the requested artifact is a proposal or proposal review, route the live call, eligibility and criterion passport plus the frozen question/design/evidence package to radiology-grant. Register the proposal, criterion findings, review receipt and revision ledger; do not treat a persuasive draft as evidence that an administrative or scientific gate passed.
   • Scientific-presentation branch: when the requested artifact is a journal club, conference, lab/project review, proposal defense, thesis defense or results deck, route the frozen or explicitly planned evidence to radiology-paper2ppt. Register the deck brief, slide map, source/transformation ledger, speaker notes, artifact and separate QA receipts. Presentation rendering cannot validate the underlying science.
8. Write from the frozen evidence. For mechanism-only or imaging-mechanism work, first create and validate the radiogenomics immutable scientific packet. Route venue structure and prose to radiology-writing, house style to radiology-polishing, citation support to radiology-citation, and guideline compliance to radiology-reporting. For evidence-synthesis, first obtain the radiology-systematic-review: writing-handoff from frozen protocol, flow, extraction, risk-of-bias/applicability, synthesis and certainty artifacts.
9. Run adversarial review. Route author-side imaging work to radiology-prereview: author-prereview; a real invited confidential review to radiology-prereview: journal-peer-review only after its governance gate; mechanism-only work to radiology-radiogenomics: manuscript-review, and imaging-mechanism work through both the scope review and bridge audit before editor synthesis. Every P0/P1 carries a stable finding ID, artifact digest, evidence anchor, affected Claim IDs and closure evidence. Freeze the result with radiology-prereview/scripts/validate_scientific_prereview_receipt.py; pass the canonical scientific_prereview_receipt_digest, never a bare three-state label. Reconcile the abstract, main text, tables, figures, supplements, and source data using cross-artifact-consistency.md.
10. Select and package. Use radiology-journal to verify current fit and author guidance; use radiology-submission to build the upload-ready package and manifest.
11. Revise with traceability. Route decision letters to radiology-response; record each promised change, evidence artifact, manuscript location, and re-review status. Verify revised artifacts against frozen criteria before reading persuasive reply prose, preserve the source and post-revision prereview receipt digests in the canonical response receipt, then rerun the complete submission package audit for the actual revision root.
12. Close out for reproducibility and reuse. Preserve protocol/SAP and deviations, cohort/split manifests, code/environment/config/seeds/model, source results/displays, negative/failure evidence, access constraints and the exact claim boundary. Record what a future project should preserve, change or not infer. Apply open-science-and-reproducibility-gate.md at D4, D5 and D9; route replay packaging, level assignment and independent-run evidence to radiology-reproducibility, while radiology-data retains access/retention authority; publication status, a repository link or a complete-looking folder does not substitute for scientific closeout or an independently replayed result.
13. Maintain the published lifecycle. When an output is accepted or public, open post-publication-and-staleness-lifecycle.md; register the authoritative version/identifier, public-access deposit, data/code request route, correspondence, correction/retraction state, living-review or guideline update trigger, dissemination/bibliometric snapshots, deployment evidence and retirement owner. A citation count, Crossmark badge or repository record is a signal/locator, not proof that the output remains valid or that a correction is unnecessary.

Stage-gate rule

Record every gate as PASS, CONDITIONAL, FAIL, or NOT_APPLICABLE with evidence and an owner. Do not call a project submission-ready while any hard gate is FAIL, any required artifact is missing, any submission-facing claim is unsupported, or simulated evidence is present in submission mode.

Output contract

For a single question, return the answer, its evidence boundary and the next relevant action. Use the fields below for applicable project work; omit unrelated fields and do not require a passport or learner assessment to answer a bounded expert question.

1. Project read - mode, current stage, data provenance, target venue, and binding constraint.
2. Pipeline dashboard - stage, owner skill, status, evidence, blocker, and next action.
3. Research passport update - for a persistent authorized record, changed fields, decisions, artifacts, value keys, and stale outputs; otherwise a clearly labelled proposed update inline.
4. Claim/evidence/display update - major claims and their result, figure, table, citation, source-data, and manuscript-location links.
5. Gate report - passed, conditional, failed, and not-applicable gates with routes to fixes.
6. Deliverables - paths and versions of outputs actually produced; no aspirational files.
7. Author input needed - facts only the author can confirm.
8. Next stage - the first incomplete or newly stale stage, not a generic suggestion.
9. Research decision receipt - when applicable: D0-D9 state, assumptions, experiment/analysis plan, iteration/test-access record, negative/failure decision, proceed/refine/replicate/pivot/stop verdict and closeout/reuse artifact.
10. Governance satellite state - applicable integrity, operations, DMP, PPI/equity, AI-use, authorship/contribution and reproducibility artifacts, their owners, blockers and staleness.
11. Published-lifecycle state - when applicable: authoritative version, deposit/access route, queries/updates/corrections, impact snapshots, deployment linkage, staleness trigger and correction/update/retirement owner.

Boundaries

• Do not diagnose patients or make individual clinical decisions.
• Do not invent cohort counts, events, approvals, accessions, software settings, metrics, citations, or file completion.
• Do not create a project, edit a passport or registry, run a --write command, or persist learner state unless the requested outcome requires it and the user has authorized the mutation.
• Do not infer simulation authorization from words such as teaching, tutorial, mentor, learner, example or missing data.
• Do not treat attractive figures, fluent prose, or a complete-looking folder as evidence that the scientific and integrity gates passed.
• Do not upload PHI, controlled data, confidential proposals/patent material or unpublished peer-review manuscripts to an external service when authority is unresolved; return STOP_EXTERNAL_PROCESSING_UNAUTHORIZED.