diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
index 5d4ec511e..122b7115d 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingGlobalTaskService.cs
@@ -181,20 +181,28 @@ namespace IRaCIS.Application.Services
 
                   }).ToList();
 
-                x.AgreeOrNot = new List<GlobalQuestionInfo>()
+                if (criterionType != CriterionType.PCWG3)
                 {
-                    new GlobalQuestionInfo()
-                    {
-                        Answer = globalReadingQuestion.Where(y => y.TaskId == x.VisitTaskId && y.GlobalAnswerType == GlobalAnswerType.AgreeOrNot).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
-                        QuestionName = "",
-                        Type = "input",
-                        GlobalAnswerType=GlobalAnswerType.AgreeOrNot,
-                        GlobalReadingShowType= GlobalReadingShowType.AllShow,
-                    }
+                    x.AgreeOrNot = new List<GlobalQuestionInfo>()
+                   {
+                       new GlobalQuestionInfo()
+                       {
+                           Answer = globalReadingQuestion.Where(y => y.TaskId == x.VisitTaskId && y.GlobalAnswerType == GlobalAnswerType.AgreeOrNot).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                           QuestionName = "",
+                           Type = "input",
+                           GlobalAnswerType=GlobalAnswerType.AgreeOrNot,
+                           GlobalReadingShowType= GlobalReadingShowType.AllShow,
+                       }
+                   
+                   };
+                }
+                else
+                {
+                    x.AgreeOrNot = new List<GlobalQuestionInfo>() { };
+                }
+
 
-                };
 
-             
 
                 List<GetGlobalQuestionType> questionTypes = new List<GetGlobalQuestionType>()
                 {
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index c588c36e1..ce848e930 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1205,7 +1205,7 @@ namespace IRaCIS.Application.Services
                     BlindName = rowInfo.BlindName,
                     IsDicomReading = rowInfo.IsDicomReading,
                     IsCurrentTaskAdd = isCurrentTaskAdd,
-                    FristAddTaskNum = rowInfo.FristAddTaskNum,
+                  
                     OrganInfoId=rowInfo.OrganInfoId,
                     PicturePath = rowInfo.PicturePath,
                     NumberOfFrames=rowInfo.NumberOfFrames,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 8c8d5dbe8..2b7ba3695 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -524,7 +524,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                                 }
                                 break;
                             case QuestionType.AlwaysNewLesionsCount:
-                                if (inDto.VisitTaskNum >= 2)
+                                if (inDto.VisitTaskNum >1)
                                 {
                                     item.Answer = (await calculate.GetIntFun(inDto)).ToString();
                                 }
@@ -534,14 +534,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                                 }
                                 break;
                             case QuestionType.NewBoneLesionsCount:
-                                if (inDto.VisitTaskNum >= 3)
-                                {
-                                    item.Answer = (await calculate.GetIntFun(inDto)).ToString();
-                                }
-                                else
-                                {
-                                    item.Answer = nameof(YesOrNoOrNa.NA);
-                                }
+                                item.Answer = (await calculate.GetIntFun(inDto)).ToString();
                                 break;
                             case QuestionType.DaysBetween:
                                 item.Answer = (await calculate.GetIntFun(inDto)).ToString();
@@ -673,14 +666,28 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// <returns></returns>
         public async Task<int> GetNewBoneLesionCount(ReadingCalculateDto inDto)
         {
-            if (inDto.VisitTaskNum < 3)
+
+            var taskList = await GetSiteVisitForTumorList(inDto);
+
+            var findindex = taskList.OrderBy(x => x.VisitTaskNum).ToList().FindIndex(x => x.VisitTaskId == inDto.VisitTaskId);
+            var lastCount = 0;
+            if (findindex < 2)
             {
-                return 0;
+                return -1;
             }
-             var  result=    inDto.QuestionInfo.Where(x => x.LesionType == LesionType.AlwaysNewLesions).SelectMany(x => x.TableRowInfoList)
-              .Where(x =>x.FristAddTaskNum>=2&& x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt()))
+            else if (findindex > 2)
+            {
+                var lastTask = taskList.Where(x => x.VisitTaskNum < inDto.VisitTaskNum && x.VisitTaskId != inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).FirstOrDefault();
+                var cewBoneLesionsCountQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewBoneLesionsCount).Select(x => x.QuestionId).FirstOrDefault();
+                 lastCount =(int) (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastTask.VisitTaskId && x.ReadingQuestionTrialId == cewBoneLesionsCountQuestionId).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
+            }
+           
+             var  result=    inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList)
+              .Where(x => x.TableQuestionList.Any(y => y.QuestionMark == QuestionMark.State && y.Answer == EvaluationOfState.Exists.GetEnumInt()))
               .Count();
-            return result;
+
+
+            return lastCount+ result;
         }
 
         #endregion
@@ -737,6 +744,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 return VisitTumorEvaluation.NA.GetEnumInt();
             }
+
+            //如果日期未知，不需要计算肿瘤评估结果；
+            if (await GetNumberOfDaysBetween(inDto) == -1)
+            {
+                return string.Empty;
+            }
            var isPD= await ChangeLastTaskSiteVisitForTumorEvaluation(inDto);
             var newLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var baseLineLesionsCount = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.BaseLineLesionsCount).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
@@ -858,6 +871,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).FirstNotNullAsync();
                 siteVisitForTumorList = await _visitTaskRepository.Where(x => (x.ReadingCategory == ReadingCategory.Visit &&
                        x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
+                       x.DoctorUserId== taskinfo.DoctorUserId&&
                        x.IsAnalysisCreate==inDto.IsAnalysisCreate&&
                        x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum <= taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum
                        )||x.Id== inDto.VisitTaskId).OrderByDescending(x => x.VisitTaskNum).Select(x => new SiteVisitForTumor()