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;
        }