diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 1f684f5bb..47b2b88f4 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -2691,6 +2691,12 @@
             <param name="inCommand"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ImageAndDoc.DownloadAndUploadService.GetTrialSubjectVisitMarkList(IRaCIS.Core.Application.Contracts.SubjectVisitMarkQuery)">
+            <summary>
+            获取受试者级别 访视标注列表
+            </summary>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ImageAndDoc.DownloadAndUploadService.GetSubejectOrVisitZipInfo(IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Subject},IRaCIS.Core.Application.Contracts.SubejctZipInfoQuery)">
             <summary>
             受试者级别所有的影像
diff --git a/IRaCIS.Core.Application/Service/Common/Export/CDISCExportBaseModel.cs b/IRaCIS.Core.Application/Service/Common/Export/CDISCExportBaseModel.cs
index 4562bab26..9e6623357 100644
--- a/IRaCIS.Core.Application/Service/Common/Export/CDISCExportBaseModel.cs
+++ b/IRaCIS.Core.Application/Service/Common/Export/CDISCExportBaseModel.cs
@@ -31,6 +31,8 @@ public class TumorCommonQustionInfo
 public class TumorLessionInfo
 {
     public Guid Id { get; set; }
+
+    public Guid? OrganInfoId { get; set; }
     //病灶编号
     public string LessionCode { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
index d8846611c..edf4e678e 100644
--- a/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
+++ b/IRaCIS.Core.Application/Service/Common/Export/TumorExportService.cs
@@ -12,6 +12,7 @@ using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Domain.Models;
 using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Infra.EFCore.Common;
+using MailKit;
 using Microsoft.AspNetCore.Hosting;
 using Microsoft.AspNetCore.Mvc;
 using Microsoft.Extensions.Hosting;
@@ -313,6 +314,7 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
             LesionList = t.LesionList.OrderBy(t => t.RowMark).Select(c => new TumorLessionInfo()
             {
                 Id = c.Id,
+                OrganInfoId=c.OrganInfoId,
                 LessionType = c.ReadingQuestionTrial.LesionType,
                 LessionCode = c.RowMark,
                 SplitRowId = c.SplitRowId,
@@ -344,6 +346,7 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
     public async Task<IActionResult> GetTumor_CDISC_Export(VisitTaskQuery inQuery,
          [FromServices] IRepository<VisitTaskReReading> _visitTaskReReadingRepository,
         [FromServices] IDictionaryService _dictionaryService,
+        [FromServices] IRepository<OrganTrialInfo> _trialOrganRepository,
         [FromServices] IRepository<ReadingQuestionTrial> _trialReadingQuestionRepository,
          [FromServices] IRepository<ReadingTableQuestionTrial> _trialReadingTableQuestionRepository,
         [FromServices] IRepository<Trial> _trialRepository)
@@ -386,6 +389,11 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
          .Union(new List<string>() { "ArmEnum", "ValueUnit", "GlobalAssessType", "ImageQualityIssues" })
          .Distinct().ToArray();
 
+        var trialOrganDic = _trialOrganRepository.Where(t => t.TrialCriterionId == criterion.Id).Select(t=>new {t.OrganInfoId,t.Part,t.PartEN}).ToDictionary(
+        t => t.OrganInfoId,
+        t => new { t.Part, t.PartEN }
+        );
+
         //翻译字典
         var translateDataList = await _dictionaryService.GetBasicDataSelect(dicNameList);
 
@@ -512,6 +520,11 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
 
                 var tu = CreatNewTUExport(task, lesion, visitIndexNoDic, translateDataList, isEn_Us);
 
+                if (lesion.OrganInfoId.HasValue)
+                {
+                    tu.BodyPart = _userInfo.IsEn_Us ? trialOrganDic[lesion.OrganInfoId.Value].PartEN : trialOrganDic[lesion.OrganInfoId.Value].Part;
+                }
+
 
                 Fill_Resisit_Lugano_TUExport(tu, lesion);
 
@@ -980,19 +993,19 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
         tu.IdentificationMethod = lesion.DicomModality.IsNotNullOrEmpty() ? lesion.DicomModality! : lesion.NoneDicomModality ?? "";
 
 
-        var findBodyPart = lesion.LessionAnswerList.Where(t => t.QuestionMark == QuestionMark.Part).FirstOrDefault();
+        //var findBodyPart = lesion.LessionAnswerList.Where(t => t.QuestionMark == QuestionMark.Part).FirstOrDefault();
 
-        if (findBodyPart != null)
-        {
-            if (findBodyPart.TranslateDicName.IsNotNullOrEmpty())
-            {
-                tu.BodyPart = translateDataList[findBodyPart.TranslateDicName].Where(t => t.Code.ToLower() == findBodyPart.QuestionValue?.ToLower()).Select(t => isEn_Us ? t.Value : t.ValueCN).FirstOrDefault() ?? String.Empty;
-            }
-            else
-            {
-                tu.BodyPart = findBodyPart.QuestionValue;
-            }
-        }
+        //if (findBodyPart != null)
+        //{
+        //    if (findBodyPart.TranslateDicName.IsNotNullOrEmpty())
+        //    {
+        //        tu.BodyPart = translateDataList[findBodyPart.TranslateDicName].Where(t => t.Code.ToLower() == findBodyPart.QuestionValue?.ToLower()).Select(t => isEn_Us ? t.Value : t.ValueCN).FirstOrDefault() ?? String.Empty;
+        //    }
+        //    else
+        //    {
+        //        tu.BodyPart = findBodyPart.QuestionValue;
+        //    }
+        //}
 
         var findBodyPartDes = lesion.LessionAnswerList.Where(t => t.QuestionMark == QuestionMark.BodyPartDescription).FirstOrDefault();
 
@@ -1415,24 +1428,67 @@ public class Tumor_CDISC_ExportService(IRepository<ReadingQuestionCriterionTrial
         {
             trValueTypeIndex = 1;
 
+        }
+
+        if (lesion.LessionType == LesionType.TargetLesion)
+        {
+            //淋巴 存在	无法评估	消失
+            //短径	空	短径（长短径工具）、0mm（箭头工具）
+
+            if (lessionAnswer.QuestionMark == QuestionMark.ShortAxis
+               && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "1")
+              )
+            {
+
+                trValueTypeIndex = 0;
+            }
+            //非淋巴结  存在	无法评估	消失
+
+            //  长径	   空	 0mm
+
+            else if (lessionAnswer.QuestionMark == QuestionMark.MajorAxis
+                && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "0"))
+            {
+                trValueTypeIndex = 0;
+
+            }
+
+            if (lessionAnswer.QuestionMark == QuestionMark.MajorAxis || lessionAnswer.QuestionMark == QuestionMark.ShortAxis)
+            {
+                //处理消失 空为0mm
+                if (lessionAnswer.QuestionValue.IsNullOrEmpty() && lesion.LessionAnswerList.FirstOrDefault(t => t.QuestionMark == QuestionMark.State)?.QuestionValue == "3")
+                {
+
+                    lessionAnswer.QuestionValue = "0";
+                }
+            }
+
+
 
         }
-        //淋巴结取短径
-        else if (lessionAnswer.QuestionMark == QuestionMark.ShortAxis && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "1"))
+        //有值 就展示，没值就不展示
+        else if (lesion.LessionType == LesionType.NonTargetLesions || lesion.LessionType == LesionType.NewLesions)
         {
 
-
-            trValueTypeIndex = 0;
-
-        }
-        //非淋巴结 并且长径有值
-        else if (lessionAnswer.QuestionMark == QuestionMark.MajorAxis
-            && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "0")
-            && lesion.LessionAnswerList.FirstOrDefault(t => t.QuestionMark == QuestionMark.MajorAxis)?.QuestionValue.IsNotNullOrEmpty() == true)
-        {
-            trValueTypeIndex = 0;
+            //淋巴结取短径 并且短径有值
+            if (lessionAnswer.QuestionMark == QuestionMark.ShortAxis
+                && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "1")
+                && lesion.LessionAnswerList.FirstOrDefault(t => t.QuestionMark == QuestionMark.ShortAxis)?.QuestionValue.IsNotNullOrEmpty() == true)
+            {
+                trValueTypeIndex = 0;
+            }
+            //非淋巴结取长径 并且长径有值
+            else if (lessionAnswer.QuestionMark == QuestionMark.MajorAxis
+                && lesion.LessionAnswerList.Any(t => t.QuestionMark == QuestionMark.IsLymph && t.QuestionValue == "0")
+                && lesion.LessionAnswerList.FirstOrDefault(t => t.QuestionMark == QuestionMark.MajorAxis)?.QuestionValue.IsNotNullOrEmpty() == true)
+            {
+                trValueTypeIndex = 0;
+            }
         }
 
+
+
+
         return trValueTypeIndex;