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diff --git a/Lugano 2014/20231205-Lugano 2014默认部位列表-确认版.xlsx b/Lugano 2014/20231205-Lugano 2014默认部位列表-确认版.xlsx
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diff --git a/Lugano 2014/20231205-lugano阅片标准优化需求.docx b/Lugano 2014/20231205-lugano阅片标准优化需求.docx
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diff --git a/Lugano 2014/评估算法/1、靶病灶评估.cs b/Lugano 2014/评估算法/1、靶病灶评估.cs
new file mode 100644
index 0000000..9d88e47
--- /dev/null
+++ b/Lugano 2014/评估算法/1、靶病灶评估.cs	
@@ -0,0 +1,28 @@
+
+"默认SD"
+
+if(当前访视是基线)
+{
+    "NA";
+}
+else if(基线未选择靶病灶)
+{
+    "ND";
+}
+else if(任一单个病灶进展即可)
+{
+    "PD";
+}
+else if(当前访视存在至少一个状态为“不可评估”的靶病灶)
+{
+    "NE";
+}
+else if(当前访视非淋巴结靶病灶全部消失 && （当前访视淋巴结靶病灶的状态全部变为“消失” 或者 "太小" ）)
+{
+    "CR";
+}
+else if(与基线相比SPD变化的百分比 <=- 50% )
+{
+    "PR";
+}
+
diff --git a/Lugano 2014/评估算法/2、非靶病灶评估.cs b/Lugano 2014/评估算法/2、非靶病灶评估.cs
new file mode 100644
index 0000000..173eed8
--- /dev/null
+++ b/Lugano 2014/评估算法/2、非靶病灶评估.cs	
@@ -0,0 +1,24 @@
+if(当前访视是基线)
+{
+    "NA";
+}
+else if(基线未选择非靶病灶)
+{
+    "ND";
+}
+else if(随访至少存在一个状态为“显著增大”的非靶病灶)
+{
+    "PD";
+}
+else if( 随访存在至少一个状态为“不可评估”的非靶病灶)
+{
+    "NE";
+}
+else if(所有单个病灶/病灶组状态评估状态为“消失”)  //当前访视非靶病灶状态为消失的数量==非靶病灶的数量
+{
+    "CR";
+}
+else
+{
+    "PR/SD";
+}
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/3、新病灶评估.cs b/Lugano 2014/评估算法/3、新病灶评估.cs
new file mode 100644
index 0000000..02bb309
--- /dev/null
+++ b/Lugano 2014/评估算法/3、新病灶评估.cs	
@@ -0,0 +1,20 @@
+if(当前访视是基线)
+{
+    "NA";
+}
+else if(当前访视存在至少一个明确新病灶)
+{
+    "是";
+}
+else if(只要有任何一个新病灶状态为“无法评估”)
+{
+    "无法评估";
+}
+else if(当前访视不存在明确新病灶且存在至少一个疑似新病灶)
+{
+    "疑似";
+}
+else 
+{
+    "否";
+}
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/4、脾脏评估.cs b/Lugano 2014/评估算法/4、脾脏评估.cs
new file mode 100644
index 0000000..013e2da
--- /dev/null
+++ b/Lugano 2014/评估算法/4、脾脏评估.cs	
@@ -0,0 +1 @@
+return "脾脏状态";
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/5、肝脏评估.cs b/Lugano 2014/评估算法/5、肝脏评估.cs
new file mode 100644
index 0000000..1cf823a
--- /dev/null
+++ b/Lugano 2014/评估算法/5、肝脏评估.cs	
@@ -0,0 +1 @@
+return "肝脏状态";
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/6、CMRI总体评估实现代码.cs b/Lugano 2014/评估算法/6、CMRI总体评估实现代码.cs
new file mode 100644
index 0000000..ea3812d
--- /dev/null
+++ b/Lugano 2014/评估算法/6、CMRI总体评估实现代码.cs	
@@ -0,0 +1,213 @@
+public async Task<string> CTMRIEvaluation(ReadingCalculateDto inDto)
+        {
+            if (inDto.IsBaseLine)
+            {
+                return CTMRIOverallAssessment.NA.GetEnumInt();
+            }
+            // 靶病灶评估
+            var targetEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.Answer).FirstOrDefault();
+
+            // 非靶病灶评估
+            var noTargetEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NoTargetLesion).Select(x => x.Answer).FirstOrDefault();
+
+            // 存在新病灶
+            var existsNewTarget = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionEvaluation).Select(x => x.Answer).FirstOrDefault();
+
+            // 肝脏评估
+            var liverEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LiverAssessment).Select(x => x.Answer).FirstOrDefault();
+
+            // 脾脏评估
+            var spleenEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SplenicEvaluation).Select(x => x.Answer).FirstOrDefault();
+     
+            List<CalculationDto> data = new List<CalculationDto>() {
+
+                //ND	ND	否/疑似	 正常	正常	ND
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No, NewLesionAssessment.Suspected }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND }),
+                },
+
+                //PD  任一结果    任一结果    任一结果    任一结果    PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.PD }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() {  }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() {  }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD }),
+                },
+                //任一结果	PD	任一结果	任一结果	任一结果	PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() {  }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.PD }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() {}),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() {  }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD }),
+                },
+                //任一结果  任一结果    是   任一结果    任一结果    PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() {  }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.Yes }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() {  }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD }),
+                },
+                //任一结果	任一结果	任一结果	显著增大	任一结果	PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() {  }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() {  }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Increase }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() {  }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD }),
+                },
+                //任一结果    任一结果    任一结果    任一结果    显著增大    PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() {  }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() {}),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() {  }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Increase }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD }),
+                },
+                //CR	CR/ND	否	正常	正常	CR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.CR }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.CR, NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR }),
+                },
+                //ND  CR  否   正常  正常  CR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.CR }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR }),
+                },
+                //NE	非PD	否/疑似/无法评估 	 非显著增大	非显著增大	NE
+                new CalculationDto(){
+                NotEq=new List<int>(){ 2,4,5},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.NE }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.PD }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No,NewLesionAssessment.Suspected, NewLesionAssessment.NE}),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Increase }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Increase }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.NE }),
+                },
+                //ND  NE  否/疑似/无法评估（不为是）	正常/稳定/无法评估/部分缓解（非显著增大）	正常/稳定/无法评估/部分缓解（非显著增大）	NE
+                new CalculationDto(){
+                NotEq=new List<int>(){ 3,4,5},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.Yes }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Increase }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Increase }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.NE }),
+                },
+                //ND  ND  无法评估   正常/稳定/无法评估/部分缓解（非显著增大）	正常/稳定/无法评估/部分缓解（非显著增大）	NE
+                new CalculationDto(){
+                NotEq=new List<int>(){ 4,5},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.NE }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Increase }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Increase }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.NE }),
+                },
+                //ND	ND	否/疑似  	无法评估	正常/稳定/无法评估/部分缓解（非显著增大）	NE
+                new CalculationDto(){
+                NotEq=new List<int>(){ 5},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No,NewLesionAssessment.Suspected }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.NotEvaluable }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Increase }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.NE }),
+                },
+                // ND	ND	否/疑似	正常/稳定	NE	NE
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.No,NewLesionAssessment.Suspected }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal,LiverAssessment.Stabilization }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.NotEvaluable }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.NE }),
+                },
+                //PR  非PD 否/疑似/无法评估（不为是）	正常/稳定   正常/部分缓解 PR
+                new CalculationDto(){
+                NotEq=new List<int>(){ 2,3},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.PR }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.PD }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.Yes }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal,LiverAssessment.Stabilization}),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal,SpleenAssessment.Remission }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PR }),
+                },
+                //CR	（PR/SD）或者NE	 否/疑似/无法评估（不为是）	正常/部分缓解	正常/部分缓解	PR
+                  new CalculationDto(){
+                NotEq=new List<int>(){ 3},
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.CR }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.PRSD,NoTargetAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.Yes,NewLesionAssessment.Yes }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal,LiverAssessment.Stabilization}),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal,SpleenAssessment.Remission }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PR }),
+                },
+                  //CR	CR/ND	疑似/无法评估	正常/稳定	正常/部分缓解	PR
+                    new CalculationDto(){
+
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.CR }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.CR,NoTargetAssessment.ND }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { NewLesionAssessment.Suspected, NewLesionAssessment.NE  }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal,LiverAssessment.Stabilization}),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal,SpleenAssessment.Remission }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PR }),
+                },
+                 //   ND  CR  疑似/无法评估 正常/稳定   正常/部分缓解 PR
+                      new CalculationDto(){
+
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() { TargetAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { NoTargetAssessment.CR }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() {  NewLesionAssessment.Suspected, NewLesionAssessment.NE }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { LiverAssessment.Normal,LiverAssessment.Stabilization}),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() { SpleenAssessment.Normal,SpleenAssessment.Remission }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PR }),
+                },
+                 new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<TargetAssessment>() {  }),
+                Column2=ReadingCommon.EnumToString(new List<NoTargetAssessment>() { }),
+                Column3=ReadingCommon.EnumToString(new List<NewLesionAssessment>() { }),
+                Column4=ReadingCommon.EnumToString(new List<LiverAssessment>() { }),
+                Column5=ReadingCommon.EnumToString(new List<SpleenAssessment>() {  }),
+                Column6=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.SD }),
+                },
+            };
+
+            var index= data.FindIndex(x =>
+             (x.NotEq.Contains(1) ? !x.Column1.Contains(targetEvaluation) : x.Column1.Contains(targetEvaluation) || x.Column1.Count() == 0) &&
+             (x.NotEq.Contains(2) ? !x.Column2.Contains(noTargetEvaluation) : x.Column2.Contains(noTargetEvaluation) || x.Column2.Count() == 0) &&
+             (x.NotEq.Contains(3) ? !x.Column3.Contains(existsNewTarget) : x.Column3.Contains(existsNewTarget) || x.Column3.Count() == 0) &&
+             (x.NotEq.Contains(4) ? !x.Column4.Contains(liverEvaluation) : x.Column4.Contains(liverEvaluation) || x.Column4.Count() == 0) &&
+             (x.NotEq.Contains(5) ? !x.Column5.Contains(spleenEvaluation) : x.Column5.Contains(spleenEvaluation) || x.Column5.Count() == 0))
+             ;
+            Console.WriteLine(index);
+            var result = data.Where(x =>
+             (x.NotEq.Contains(1) ? !x.Column1.Contains(targetEvaluation) : x.Column1.Contains(targetEvaluation) || x.Column1.Count() == 0) &&
+             (x.NotEq.Contains(2) ? !x.Column2.Contains(noTargetEvaluation) : x.Column2.Contains(noTargetEvaluation) || x.Column2.Count() == 0) &&
+             (x.NotEq.Contains(3) ? !x.Column3.Contains(existsNewTarget) : x.Column3.Contains(existsNewTarget) || x.Column3.Count() == 0) &&
+             (x.NotEq.Contains(4) ? !x.Column4.Contains(liverEvaluation) : x.Column4.Contains(liverEvaluation) || x.Column4.Count() == 0) &&
+             (x.NotEq.Contains(5) ? !x.Column5.Contains(spleenEvaluation) : x.Column5.Contains(spleenEvaluation) || x.Column5.Count() == 0))
+             .Select(x => x.Column6.FirstOrDefault())
+             .FirstOrDefault();
+            return result??string.Empty;
+        }
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/6、CTMRI总体评估-对应表.png b/Lugano 2014/评估算法/6、CTMRI总体评估-对应表.png
new file mode 100644
index 0000000..cc3fb8d
Binary files /dev/null and b/Lugano 2014/评估算法/6、CTMRI总体评估-对应表.png differ
diff --git a/Lugano 2014/评估算法/7、FDG-PET评估-对应表.png b/Lugano 2014/评估算法/7、FDG-PET评估-对应表.png
new file mode 100644
index 0000000..4c7e1c4
Binary files /dev/null and b/Lugano 2014/评估算法/7、FDG-PET评估-对应表.png differ
diff --git a/Lugano 2014/评估算法/7、FDG-PET评估实现代码.cs b/Lugano 2014/评估算法/7、FDG-PET评估实现代码.cs
new file mode 100644
index 0000000..2dace19
--- /dev/null
+++ b/Lugano 2014/评估算法/7、FDG-PET评估实现代码.cs	
@@ -0,0 +1,94 @@
+        public async Task<string> GetFDGPETOverallAssessment(ReadingCalculateDto inDto)
+        {
+
+            if (inDto.IsBaseLine)
+            {
+                return FDGPETOverallAssessment.NA.GetEnumInt();
+            }
+
+            var existPET =await GetExistPET(inDto);
+            if (existPET.EqEnum(ReadingYesOrNo.No))
+            {
+                return FDGPETOverallAssessment.NE.GetEnumInt();
+            }
+
+            //FDGPETOverallAssessment result = FDGPETOverallAssessment.NA;
+
+            // PET5PS
+            var PET5PS = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstOrDefault();
+
+            // UptakeChange
+            var UptakeChange = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.UptakeChange).Select(x => x.Answer).FirstOrDefault();
+
+            // EvidenceFocalFDG
+            var EvidenceFocalFDG = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.EvidenceFocalFDG).Select(x => x.Answer).FirstOrDefault();
+
+
+            List<CalculationDto> data = new List<CalculationDto>() {
+
+                //NE	NE	NE	NE
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() { PET5PSScore.NE }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.NotEvaluable }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.NE}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                },
+
+                  //NE/5分/4分/3分/2分/1分/X	NE/增大/减少/无明显变化	 是，存在新的/复发的FDG高亲和性病灶	PMD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() { PET5PSScore.NE,PET5PSScore.Five,PET5PSScore.Four,PET5PSScore.Three,PET5PSScore.Two,PET5PSScore.One,PET5PSScore.X, }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.NotEvaluable,SUVChangeVSBaseline.Increase,SUVChangeVSBaseline.Decrease,SUVChangeVSBaseline.DidNotChange, }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.YesHaveNew,}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD }),
+                },
+
+                  //5分/4分	增大	NE/（是，存在新的/复发的FDG高亲和性病灶）/（是，存在持续的局灶性变化）/否	PMD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() { PET5PSScore.Five,PET5PSScore.Four, }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.Increase }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.NE, FDGAffinityFociInBM.YesHaveNew, FDGAffinityFociInBM.YesSustain, FDGAffinityFociInBM.No}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD }),
+                },
+
+                  //3分/2分/1分/X	NE/增大/减少/无明显变化	否	CMR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() { PET5PSScore.Three,PET5PSScore.Two,PET5PSScore.One,PET5PSScore.X, }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.NotEvaluable,SUVChangeVSBaseline.Increase,SUVChangeVSBaseline.Decrease,SUVChangeVSBaseline.DidNotChange, }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.No}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.CMR }),
+                },
+
+                  //3分/2分/1分/X	NE/增大/减少/无明显变化	是，存在持续的局灶性变化	PMR
+                  new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() { PET5PSScore.Three,PET5PSScore.Two,PET5PSScore.One,PET5PSScore.X, }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.NotEvaluable,SUVChangeVSBaseline.Increase,SUVChangeVSBaseline.Decrease,SUVChangeVSBaseline.DidNotChange, }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.YesSustain }),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMR }),
+                },
+
+                  //5分/4分	减少	否/是，存在持续的局灶性变化	PMR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() {  PET5PSScore.Five,PET5PSScore.Four }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.Decrease }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.No, FDGAffinityFociInBM.YesSustain}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMR }),
+                },
+
+                     //5分/4分	无明显变化	否/是，存在持续的局灶性变化	NMR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<PET5PSScore>() {  PET5PSScore.Five,PET5PSScore.Four }),
+                Column2=ReadingCommon.EnumToString(new List<SUVChangeVSBaseline>() { SUVChangeVSBaseline.DidNotChange }),
+                Column3=ReadingCommon.EnumToString(new List<FDGAffinityFociInBM>() { FDGAffinityFociInBM.No, FDGAffinityFociInBM.YesSustain}),
+                Column4=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NMR }),
+                },
+            };
+
+
+            var resultdata = data.Where(x =>
+            (x.NotEq.Contains(1) ? !x.Column1.Contains(PET5PS) : x.Column1.Contains(PET5PS) || x.Column1.Count() == 0) &&
+            (x.NotEq.Contains(2) ? !x.Column2.Contains(UptakeChange) : x.Column2.Contains(UptakeChange) || x.Column2.Count() == 0) &&
+            (x.NotEq.Contains(3) ? !x.Column3.Contains(EvidenceFocalFDG) : x.Column3.Contains(EvidenceFocalFDG) || x.Column3.Count() == 0))
+            .Select(x => x.Column4.FirstOrDefault())
+            .FirstOrDefault();
+            return resultdata ?? string.Empty;
+        }
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/8、影像学整体肿瘤评估-对应表更新.png b/Lugano 2014/评估算法/8、影像学整体肿瘤评估-对应表更新.png
new file mode 100644
index 0000000..b2fd2dc
Binary files /dev/null and b/Lugano 2014/评估算法/8、影像学整体肿瘤评估-对应表更新.png differ
diff --git a/Lugano 2014/评估算法/8、影像学整体肿瘤评估代码.cs b/Lugano 2014/评估算法/8、影像学整体肿瘤评估代码.cs
new file mode 100644
index 0000000..78b9aa1
--- /dev/null
+++ b/Lugano 2014/评估算法/8、影像学整体肿瘤评估代码.cs	
@@ -0,0 +1,139 @@
+ public async Task<string> GetImgOncology(ReadingCalculateDto inDto)
+        {
+            if (inDto.IsBaseLine)
+            {
+                return ImagingOverallAssessment_Lugano.NA.GetEnumInt();
+            }
+
+            //var imageQualityEvaluation = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ImageQualityAssessment&&x.Answer.EqEnum(ImageQualityEvaluation.Abnormal)).FirstOrDefault();
+            //if (imageQualityEvaluation != null)
+            //{
+            //    return ImagingOverallAssessment_Lugano.NE.GetEnumInt();
+            //}
+
+            // CTandMRI
+            var CTandMRIData = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.CTandMRI).Select(x => x.Answer).FirstOrDefault();
+
+            // FDGPET
+            var FDGPETData = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.FDGPET).Select(x => x.Answer).FirstOrDefault();
+
+            var baseLineTaskId = await GetBaseLineTaskId(inDto);
+            // lastFDGPET
+            var lastFDGPETData = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.LastFDGPET).Select(x => x.Answer).FirstOrDefault();
+
+            List<CalculationDto> data = new List<CalculationDto>() {
+
+                //1、ND	 NE	NE/NA	ND
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.ND }),
+                },
+                  //2、ND/PD/CR/NE/PR/SD	PMD	PMD/CMR/PMR/NMR/NE/NA	PMD/PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND, CTMRIOverallAssessment.PD,CTMRIOverallAssessment.CR,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD}),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD, }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() {FDGPETOverallAssessment.PMD, FDGPETOverallAssessment.CMR,FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMDPD }),
+                },
+                  //3、ND/PD/CR/NE/PR/SD	NE	PMD	PMD/PD
+                  new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND, CTMRIOverallAssessment.PD,CTMRIOverallAssessment.CR,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD}),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() {FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD, }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMDPD }),
+                },
+                  //4、PD	NE	CMR/PMR/NMR/NE/NA	PMD/PD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PD}),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.CMR,FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA  }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMDPD }),
+                },
+                  //5、NE	NE	NE/NA	NE
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() {  CTMRIOverallAssessment.NE }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.NE }),
+                },
+
+                  //6、CR/PR/SD/NE/ND/PD	CMR	CMR/PMR/NMR/PMD/NE/NA	CMR/CR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.ND,CTMRIOverallAssessment.PD }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.CMR }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.CMR,FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.PMD, FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.CMRCR }),
+                },
+                  //7、CR	NE	NE/NA	CMR/CR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA,}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.CMRCR }),
+                },
+
+                   //8、 CR、PR、SD、NE、ND   	NE	 CMR	CMR/CR
+                new CalculationDto(){
+				Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.ND }),
+				Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+				Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.CMR,}),
+				Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.CMRCR }),
+				},
+
+
+
+
+                 //9、ND/PD/CR/NE/PR/SD	PMR	PMD/CMR/PMR/NMR/NE/NA	PMR/PR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() {  CTMRIOverallAssessment.ND, CTMRIOverallAssessment.PD,CTMRIOverallAssessment.CR,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMR }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD, FDGPETOverallAssessment.CMR,FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.NE,FDGPETOverallAssessment.NA, }),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMRPR }),
+                },
+                 //10、PR	NE	NE/NA	PMR/PR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.PR }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA,}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMRPR }),
+                },
+                  //11、CR/PR/SD/NE/ND	NE	PMR	PMR/PR
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.ND }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMR}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMRPR }),
+                },
+                  //12、ND/PD/CR/NE/PR/SD	NMR	PMD/CMR/PMR/NMR/NE/NA	NMR/SD  
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND,CTMRIOverallAssessment.PD,CTMRIOverallAssessment.CR,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NMR }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD, FDGPETOverallAssessment.CMR, FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA,}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.NMRSD }),
+                },
+                  //13、CR/PR/SD/ND/NE	NE	NMR	NMR/SD
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.CR, CTMRIOverallAssessment.PR, CTMRIOverallAssessment.SD, CTMRIOverallAssessment.ND, CTMRIOverallAssessment.NE }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NMR}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.NMRSD }),
+                },
+                  //14、SD	NE	NE/NA	NMR/SD 
+                new CalculationDto(){
+                Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.SD }),
+                Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
+                Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE, FDGPETOverallAssessment.NA,}),
+                Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.NMRSD }),
+                },
+            };
+
+             var resultdata = data.Where(x =>
+               (x.NotEq.Contains(1) ? !x.Column1.Contains(CTandMRIData) : x.Column1.Contains(CTandMRIData) || x.Column1.Count() == 0) &&
+               (x.NotEq.Contains(2) ? !x.Column2.Contains(FDGPETData) : x.Column2.Contains(FDGPETData) || x.Column2.Count() == 0) &&
+               (x.NotEq.Contains(3) ? !x.Column3.Contains(lastFDGPETData) : x.Column3.Contains(lastFDGPETData) || x.Column3.Count() == 0))
+               .Select(x => x.Column4.FirstOrDefault())
+               .FirstOrDefault();
+            return resultdata ?? string.Empty;
+        }
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/PET5PS评分.cs b/Lugano 2014/评估算法/PET5PS评分.cs
new file mode 100644
index 0000000..0126e40
--- /dev/null
+++ b/Lugano 2014/评估算法/PET5PS评分.cs	
@@ -0,0 +1,24 @@
+if(如果没有PET)
+{
+    "NE";
+}
+else if(本访视病灶的 max SUVmax（所有病灶中最大的）> 2 * 肝脏血池SUVmax)
+{
+    "5";
+}
+else if(本访视病灶的SUVmax（所有病灶中最大的）>肝脏血池SUVmax)
+{
+    "4";
+}
+else if(纵隔血池SUVmax<本访视点病灶的max SUVmax（所有病灶中最大的）≤1*肝脏血池SUVmax)
+{
+    "3";
+}
+else if(本访视点病灶的SUVmax（所有病灶中最大的）<纵隔血池SUVmax)
+{
+    "2";
+}
+else
+{
+    "";//原来是1这里改为空
+}
\ No newline at end of file
diff --git a/Lugano 2014/评估算法/与基线相比摄取值变化.cs b/Lugano 2014/评估算法/与基线相比摄取值变化.cs
new file mode 100644
index 0000000..20be0c6
--- /dev/null
+++ b/Lugano 2014/评估算法/与基线相比摄取值变化.cs	
@@ -0,0 +1,16 @@
+if(本访视无PET图像)
+{
+    "NE";
+}
+else if(本访视PET评分 > 基线PET评分)
+{
+    "增大";
+}
+else if(本访视PET评分 < 基线PET评分)
+{
+    "减小";
+}
+else if(访视PET评分 = 基线PET评分)
+{
+    "不赋值，为空";
+}
diff --git a/Lugano 2014/评估算法/普通靶病灶的疾病进展状态 - 前端.cs b/Lugano 2014/评估算法/普通靶病灶的疾病进展状态 - 前端.cs
new file mode 100644
index 0000000..bb34272
--- /dev/null
+++ b/Lugano 2014/评估算法/普通靶病灶的疾病进展状态 - 前端.cs	
@@ -0,0 +1,13 @@
+// LDi   LDi= 当前病灶的长径
+// LDi   LDi= 当前病灶的短径
+// PPD   PPD= 当前病灶的PPD
+
+if( 15mm < 当前靶病灶LDi  ≤20mm   &&  相比最低点PPD增加百分比 ≥50％  && (相比PPD最低点LDi增加值 ≥5 mm   ||  相比PPD最低点SDi增加值≥5 mm)  )
+{
+	// 疾病进展
+}
+else if( 当前靶病灶LDi>20 mm  && 相比最低点PPD增加百分比 ≥50％ (相比PPD最低点LDi增加值 ≥10 mm  || 相比PPD最低点SDi增加值Sdi ≥10 mm))
+{
+	// 疾病进展
+}
+
diff --git a/Lugano 2014/评估算法/脾脏状态.cs b/Lugano 2014/评估算法/脾脏状态.cs
new file mode 100644
index 0000000..1cf2cd1
--- /dev/null
+++ b/Lugano 2014/评估算法/脾脏状态.cs	
@@ -0,0 +1,42 @@
+初始值为："无法评估"
+if（0<当前垂直径≤130mm）
+{
+	"正常";
+}
+else if(当前访视是基线)
+{
+     "肿大"
+}else
+{
+	if(基线 垂直径> 130 mm && 与基线相比脾垂直径变化值≥10 mm && 与基线相比脾肿大增加的百分比 > 50％)
+	{
+		"显著增大";
+	}	
+	else if(基线 垂直径> 130 mm
+			&& 当前访视的前面访视中 存在垂直径≤130mm
+			&& 与最低点相比脾脏垂直径的增加值≥20 mm
+			&& 当前垂直径 > 130 mm)
+	{
+		"显著增大";
+	}
+	else if(基线垂直径≤130mm && 与基线相比脾垂直径变化值≥20 mm && 当前垂直径 > 130 mm)
+	{
+		"显著增大";
+	}
+	else if(基线期 状态为“肿大”
+			&& 与基线相比脾肿大增加的百分比 < -50％)
+	{
+		"部分缓解";
+	}
+	else 
+	{
+		"稳定";
+	}
+}
+
+注：
+1、与基线相比脾肿大增加的百分比的计算方式：
+（1）当前垂直径大于130，且基线垂直径大于130时，=[（当前垂直径-130）-（基线垂直径-130）]/（基线垂直径-130）；
+（2）当前垂直径小于等于130，或者基线垂直径小于等于130时，赋值NA
+
+2、与基线相比脾垂直径变化值的计算方式：当前访视脾脏垂直径-基线脾脏垂直径
diff --git a/Lugano 2014/评估算法/融合靶病灶的疾病进展状态 - 前端.cs b/Lugano 2014/评估算法/融合靶病灶的疾病进展状态 - 前端.cs
new file mode 100644
index 0000000..517b429
--- /dev/null
+++ b/Lugano 2014/评估算法/融合靶病灶的疾病进展状态 - 前端.cs	
@@ -0,0 +1,9 @@
+// LDi   LDi= 当前病灶的长径
+// LDi   LDi= 当前病灶的短径
+// PPD   PPD= 当前病灶的PPD
+
+if( 15mm < 当前靶病灶LDi  &&  相比最低点PPD增加百分比 ≥50％   )
+{
+	// 疾病进展
+}
+
diff --git a/Lugano 2014/评估算法/靶病灶分裂主病灶的疾病进展状态.cs b/Lugano 2014/评估算法/靶病灶分裂主病灶的疾病进展状态.cs
new file mode 100644
index 0000000..ce58efc
--- /dev/null
+++ b/Lugano 2014/评估算法/靶病灶分裂主病灶的疾病进展状态.cs	
@@ -0,0 +1,19 @@
+// LDi   LDi= 主病灶加分裂病灶的长径之和
+// LDi   LDi= 主病灶加分裂病灶的短径之和
+// PPD   PPD= 主病灶加分裂病灶的PPD之和
+
+if( 15mm < 当前靶病灶LDi≤20mm   &&  相比最低点PPD增加百分比 ≥50％  && (相比PPD最低点LDi增加值 ≥5 mm   ||  相比PPD最低点SDi增加值≥5 mm)  )
+{
+	// 疾病进展
+}
+else if( 当前靶病灶LDi>20 mm  && 相比最低点PPD增加百分比 ≥50％ (相比PPD最低点LDi增加值 ≥10 mm  || 相比PPD最低点SDi增加值Sdi ≥10 mm))
+{
+	// 疾病进展
+}
+else if 
+(
+    if(之前是疾病进展)
+	{
+		// 改为存在
+	}
+)
diff --git a/Lugano 2014/评估算法/靶病灶疾病进展状态.zip b/Lugano 2014/评估算法/靶病灶疾病进展状态.zip
new file mode 100644
index 0000000..fbb2a96
Binary files /dev/null and b/Lugano 2014/评估算法/靶病灶疾病进展状态.zip differ
diff --git a/Lugano 2014/评估算法/靶病灶融合主病灶的疾病进展状态.cs b/Lugano 2014/评估算法/靶病灶融合主病灶的疾病进展状态.cs
new file mode 100644
index 0000000..c368c65
--- /dev/null
+++ b/Lugano 2014/评估算法/靶病灶融合主病灶的疾病进展状态.cs	
@@ -0,0 +1,8 @@
+// LDi   LDi= 当前病灶的长径
+// LDi   LDi= 当前病灶的短径
+// PPD   PPD= 当前病灶的PPD
+
+if(  15mm < 当前靶病灶LDi  &&  相比最低点PPD增加百分比 ≥50％ )
+{
+	// 疾病进展
+}
diff --git a/Lugano 2014/评估算法/骨髓中是否存在局灶性 FDG亲和病灶的证据.cs b/Lugano 2014/评估算法/骨髓中是否存在局灶性 FDG亲和病灶的证据.cs
new file mode 100644
index 0000000..3e1523c
--- /dev/null
+++ b/Lugano 2014/评估算法/骨髓中是否存在局灶性 FDG亲和病灶的证据.cs	
@@ -0,0 +1,8 @@
+if(不存在PET)
+{
+    "NE"
+}
+else
+{
+    "取骨髓中是否存在局灶性 FDG亲和病灶的证据 的结果"
+}
\ No newline at end of file
diff --git a/Lugano 2014/阅片交互 - 病灶SUV测量-不可切换图像.pdf b/Lugano 2014/阅片交互 - 病灶SUV测量-不可切换图像.pdf
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diff --git a/Lugano 2014/阅片交互 - 病灶SUV测量-不可切换图像.vsdx b/Lugano 2014/阅片交互 - 病灶SUV测量-不可切换图像.vsdx
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