diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 95ce32241..67429a1a6 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -1233,7 +1233,7 @@
             <param name="indto"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.IRECIST1Point1CalculateService.TestCalculate(System.Guid,IRaCIS.Core.Domain.Share.QuestionType)">
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.IRECIST1Point1CalculateService.TestCalculate(System.Guid,System.Nullable{IRaCIS.Core.Domain.Share.QuestionType})">
             <summary>
             测试计算
             </summary>
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
index 39ae896be..5e9f7d556 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
@@ -22,8 +22,29 @@ namespace IRaCIS.Core.Application.ViewModel
 
         public decimal VisitNum { get; set; }
 
-        public string TumorAnswer { get; set; } = string.Empty;
+        /// <summary>
+        /// 靶病灶是否为IUPD或者ICPD
+        /// </summary>
+        public bool TargetAssessmentIsIUorIC { get; set; }
+
+        /// <summary>
+        /// 靶病灶是否为IUPD或者ICPD
+        /// </summary>
+        public bool NewTargetLesionAssessmentIsIUorIC { get; set; } 
     }
+
+
+    public class TirggerAnswerInfo
+    {
+        public Guid VisitTaskId { get; set; }
+
+        public QuestionType QuestionType { get; set; }
+
+        public string Answer { get; set; } = string.Empty;
+
+      
+    }
+
     public class VisitStudyTime
     {
         /// <summary>
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index 3c9ce3764..d85d7986d 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -88,6 +88,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// 首次转变的任务ID
         /// </summary>
         public Guid? firstChangeTaskId;
+
+        /// <summary>
+        /// 触发任务list
+        /// </summary>
+        public List<TirggerTaskInfo>? compareTaskList = null;
         #endregion
 
         #region 删除病灶获取起始病灶序号
@@ -1704,24 +1709,92 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
             var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).ProjectTo<VisitTaskDto>(_mapper.ConfigurationProvider).FirstNotNullAsync();
             var lastTaskId = await GetLastVisitTaskId(inDto);
+
+
+            if (compareTaskList == null)
+            {
+                // 先找到第一个转变任务的number   直接找是否为转变任务 查询耗性能
+                var firstChangeVisitTaskNum = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit &&
+                     x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
+                     x.IsAnalysisCreate == taskinfo.IsAnalysisCreate &&
+                      x.DoctorUserId == taskinfo.DoctorUserId &&
+                      x.IsSelfAnalysis == taskinfo.IsSelfAnalysis &&
+                     x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.ArmEnum == taskinfo.ArmEnum
+                     && x.BeforeConvertedTaskId != null && x.TaskState == TaskState.Effect
+                     ).OrderBy(x => x.VisitTaskNum).Select(x => x.VisitTaskNum).FirstOrDefaultAsync();
+
+                // 找到转变之后 所有任务
+                compareTaskList = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit &&
+                     x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
+                     x.IsAnalysisCreate == taskinfo.IsAnalysisCreate &&
+                      x.DoctorUserId == taskinfo.DoctorUserId &&
+                      x.IsSelfAnalysis == taskinfo.IsSelfAnalysis &&
+                     x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.ArmEnum == taskinfo.ArmEnum &&
+                    x.VisitTaskNum >= firstChangeVisitTaskNum && x.VisitTaskNum < taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect
+                     ).OrderBy(x => x.VisitTaskNum).Select(x => new TirggerTaskInfo()
+                     {
+                         VisitTaskId = x.Id,
+                         VisitNum = x.VisitTaskNum,
+                     }).ToListAsync();
+
+                // 获取所有任务Id
+                var visitTaskids = compareTaskList.Select(x => x.VisitTaskId).ToList();
+
+                // 找到所有任务的靶病灶评估和非靶病灶评估
+                var answers = await _readingTaskQuestionAnswerRepository.Where(x => (x.ReadingQuestionTrial.QuestionType == QuestionType.TargetLesion || x.ReadingQuestionTrial.QuestionType == QuestionType.NewTargetLesion) &&
+                visitTaskids.Contains(x.VisitTaskId)
+                ).Select(x => new TirggerAnswerInfo()
+                {
+                    VisitTaskId = x.VisitTaskId,
+                    Answer = x.Answer,
+                    QuestionType = x.ReadingQuestionTrial.QuestionType.Value
+                }).ToListAsync();
+
+                compareTaskList.ForEach(x =>
+                {
+                    x.TargetAssessmentIsIUorIC = answers.Any(x => questionType == QuestionType.TargetLesion && (x.Answer == TargetAssessment.iUPD.GetEnumInt() || x.Answer == TargetAssessment.iCPD.GetEnumInt()));
+                    x.NewTargetLesionAssessmentIsIUorIC = answers.Any(x => questionType == QuestionType.TargetLesion && (x.Answer == NewTargetLesionAssessment.iUPD.GetEnumInt() || x.Answer == NewTargetLesionAssessment.iCPD.GetEnumInt()));
+                });
+            }
+           
+
+
+
+
+
+
             Guid? compareTaskId = null;
+            int index = 0;
             switch (questionType)
             {
                 case QuestionType.TargetLesion:
-                    if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == lastTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.TargetLesion &&
-                    (x.Answer == TargetAssessment.iUPD.GetEnumInt() || x.Answer == TargetAssessment.iCPD.GetEnumInt())))
+                     index = compareTaskList.FindLastIndex(x => x.TargetAssessmentIsIUorIC);
+                    if (index == -1)
                     {
-                        compareTaskId = lastTaskId;
+                        return compareTaskList[0].VisitTaskId;
+                    }
+                    else if (index > 0 && !compareTaskList[index-1].TargetAssessmentIsIUorIC)
+                    {
+                        return compareTaskList[index-1].VisitTaskId;
+                    }
+                    else
+                    {
+                        return compareTaskList[0].VisitTaskId;
                     }
-                    break;
-
                 case QuestionType.NewTargetLesion:
-                    if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == lastTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.TargetLesion &&
-                    (x.Answer == NewTargetLesionAssessment.iUPD.GetEnumInt() || x.Answer == NewTargetLesionAssessment.iCPD.GetEnumInt())))
+                     index = compareTaskList.FindLastIndex(x => x.NewTargetLesionAssessmentIsIUorIC);
+                    if (index == -1)
                     {
-                        compareTaskId = lastTaskId;
+                        return compareTaskList[0].VisitTaskId;
+                    }
+                    else if (index > 0 && !compareTaskList[index - 1].NewTargetLesionAssessmentIsIUorIC)
+                    {
+                        return compareTaskList[index - 1].VisitTaskId;
+                    }
+                    else
+                    {
+                        return compareTaskList[0].VisitTaskId;
                     }
-                    break;
             }