diff --git a/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs b/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
index 8baf7789d..c79bf6a2e 100644
--- a/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
+++ b/IRaCIS.Core.Application/Helper/FileDocProcess/ExcelExportHelper.cs
@@ -300,6 +300,17 @@ public static class ExcelExportHelper
         {
             public Guid Id { get; set; }
             public string Name { get; set; }
+
+            public override bool Equals(object obj)
+            {
+                if (obj is not ColumItem other) return false;
+                return Id == other.Id && Name == other.Name;
+            }
+
+            public override int GetHashCode()
+            {
+                return HashCode.Combine(Id, Name);
+            }
         }
 
         public List<string> ColumnIdList => ColumnIdNameList == null ? new List<string>() : ColumnIdNameList.Select(t => t.Id.ToString()).ToList();
diff --git a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
index ccbf5e4d1..51c7e4496 100644
--- a/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/ExcelExportService.cs
@@ -2400,7 +2400,7 @@ namespace IRaCIS.Core.Application.Service.Common
                         {
                             Id = Guid.Empty,
                             Name = (t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.Tumor) ? (_userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估") : t.QuestionName
-                        }).ToList();
+                        }).Distinct().ToList();
 
 
 
@@ -2413,7 +2413,7 @@ namespace IRaCIS.Core.Application.Service.Common
                         {
                             Id = Guid.Empty,
                             Name = (t.QuestionType == QuestionType.ExistDisease || t.QuestionType == QuestionType.ImgOncology) ? (_userInfo.IsEn_Us ? "Overall Response" : "整体肿瘤评估") : t.QuestionName
-                        }).ToList();
+                        }).Distinct().ToList();
 
                     }
                     else if (criterion.CriterionType == CriterionType.PCWG3)
@@ -2422,7 +2422,7 @@ namespace IRaCIS.Core.Application.Service.Common
                         {
                             Id = Guid.Empty,
                             Name = t.QuestionName
-                        }).ToList();
+                        }).Distinct().ToList();
 
                     }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
index 6a5a598f3..9f38d901a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingJudgeTaskService.cs
@@ -523,7 +523,7 @@ namespace IRaCIS.Core.Application.Service
 
             var readModule = await _readModuleRepository.Where(x => x.SubjectVisitId == taskinfo.SourceSubjectVisitId && x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId).FirstOrDefaultAsync();
 
-            if (criterion.IsReadingPeriod && !criterion.IsGlobalReading && readModule != null)
+            if (criterion.IsReadingPeriod  && readModule != null)
             {
                 return true;
             }
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialSiteService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialSiteService.cs
index 5309194a1..88d4079f6 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialSiteService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialSiteService.cs
@@ -120,7 +120,7 @@ namespace IRaCIS.Core.Application.Services
             var result = await siteStatQuery.ToPagedListAsync(inQuery);
 
             return (result,new {
-                IsPACSConnect= trialinfo.IsPACSConnect,
+                IsPACSConnectAndIsTrialPACSConfirmed = trialinfo.IsPACSConnect&&trialinfo.IsTrialPACSConfirmed,
             });
         }