diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index 939ece680..fa24b9f0b 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -2336,7 +2336,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// {
         ///     疗效为 iUPD
         /// }
-        /// else if (新靶病灶、新非靶病灶、其它既往新病灶任一项评估为NE)
+        /// else if (新靶病灶、新非靶病灶、其它既往新病灶,触发iRECIST后新病灶 任一项评估为NE)
         /// {
         ///     疗效为 NE
         /// }
@@ -2439,10 +2439,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 //     疗效为 iUPD
                 result = NewLesionAssessment.iUPD;
             }
-            // else if (新靶病灶、新非靶病灶、其它既往新病灶任一项评估为NE)
+            // else if (新靶病灶、新非靶病灶、其它既往新病灶,触发iRECIST后新病灶 任一项评估为NE)
             else if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewTargetLesion && x.Answer.EqEnum(NewTargetLesionAssessment.NE))
                 || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewNoTargetLesion && x.Answer.EqEnum(NewNoTargetLesionAssessment.NE))
                 || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.OtherNewTargetLesion && x.Answer.EqEnum(OtherPreviousNewLesionAssessment.NE))
+                || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.IRECISTNewTargetLesion && x.Answer.EqEnum(NewLesionAfterTriggeringiRECSITAssessment.NE))
                )
              {
                 //     疗效为 NE
@@ -2555,7 +2556,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// {
         ///     疗效为 iPR
         /// }
-        /// else if (靶病灶评估为iCR && 非靶病灶评估为iNN或NE && 新病灶评估为否或疑似或NE)
+        /// else if (靶病灶评估为iCR && 非靶病灶评估为iNN或NE && 新病灶评估为ND或疑似或NE)
         /// {
         ///     疗效为 iPR
         /// }
@@ -2685,7 +2686,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 //     疗效为 iPR
                 result = OverallAssessment.iPR;
             }
-            // else if (靶病灶评估为iCR && 非靶病灶评估为iNN或NE && 新病灶评估为否或疑似或NE)
+            // else if (靶病灶评估为iCR && 非靶病灶评估为iNN或NE && 新病灶评估为ND或疑似或NE)
             else if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && x.Answer.EqEnum(TargetAssessment.iCR))
               && (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NoTargetLesion && x.Answer.EqEnum(NoTargetAssessment.iNN))
               || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NoTargetLesion && x.Answer.EqEnum(NoTargetAssessment.NE))