diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
index c587a14b1..eb366f87b 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
@@ -656,7 +656,7 @@ namespace IRaCIS.Core.Application.Service
 			var targetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.Answer).FirstOrDefault();
 			var noTargetLesion = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NoTargetLesion).Select(x => x.Answer).FirstOrDefault();
 			var newLesions = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesions).Select(x => x.Answer).FirstOrDefault();
-			var result = await _tumorAssessmentRepository.Where(x => x.TargetLesion == targetLesion && x.NonTargetLesions == noTargetLesion && x.NewLesion == newLesions).Select(x => x.OverallEfficacy).FirstOrDefaultAsync();
+			var result = await _tumorAssessmentRepository.Where(x => x.TargetLesion.GetEnumInt() == targetLesion && x.NonTargetLesions.GetEnumInt() == noTargetLesion && x.NewLesion.GetEnumInt() == newLesions).Select(x => x.OverallEfficacy).FirstOrDefaultAsync();
 
 			return result ?? string.Empty;
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 7e57d047c..ba99180a0 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -830,167 +830,5 @@ namespace IRaCIS.Core.Domain.Share
     }
 
 
-    #region 疗效评估
-
-    /// <summary>
-    /// 非靶病灶评估
-    /// </summary>
-    public enum NoTargetAssessment
-    {
-
-        /// <summary>
-        /// PD
-        /// </summary>
-        PD = 0,
-
-        /// <summary>
-        /// CR
-        /// </summary>
-        CR = 1,
-
-        /// <summary>
-        /// NE
-        /// </summary>
-        NE = 2,
-
-        /// <summary>
-        /// ND
-        /// </summary>
-        ND = 3,
-
-        /// <summary>
-        /// NN
-        /// </summary>
-        NN = 4,
-
-        /// <summary>
-        /// NA
-        /// </summary>
-        NA = 5
-    }
-
-    /// <summary>
-    /// 靶病灶评估
-    /// </summary>
-    public enum TargetAssessment
-    {
-
-        /// <summary>
-        /// CR
-        /// </summary>
-        CR = 0,
-
-        /// <summary>
-        /// PR
-        /// </summary>
-        PR = 1,
-
-        /// <summary>
-        /// SD
-        /// </summary>
-        SD = 2,
-
-        /// <summary>
-        /// PD
-        /// </summary>
-        PD = 3,
-
-        /// <summary>
-        /// NE
-        /// </summary>
-        NE = 4,
-
-        /// <summary>
-        /// ND
-        /// </summary>
-        ND = 5,
-
-        /// <summary>
-        /// NA
-        /// </summary>
-        NA = 6
-    }
-
-    /// <summary>
-    /// 新病灶评估
-    /// </summary>
-    public enum NewLesionAssessment
-    {
-
-        /// <summary>
-        /// 是
-        /// </summary>
-        Yes = 0,
-
-        /// <summary>
-        /// 疑似
-        /// </summary>
-        Suspected = 1,
-
-        /// <summary>
-        /// NE
-        /// </summary>
-        NE = 2,
-
-        /// <summary>
-        /// 否
-        /// </summary>
-        No = 3,
-
-        /// <summary>
-        /// NA
-        /// </summary>
-        NA = 4
-    }
-
-    /// <summary>
-    /// 整体肿瘤评估
-    /// </summary>
-    public enum OverallAssessment
-    {
-
-        /// <summary>
-        /// CR
-        /// </summary>
-        CR = 0,
-
-        /// <summary>
-        /// ND
-        /// </summary>
-        ND = 1,
-
-        /// <summary>
-        /// NE
-        /// </summary>
-        NE = 2,
-
-        /// <summary>
-        /// NN
-        /// </summary>
-        NN = 3,
-
-        /// <summary>
-        /// PD
-        /// </summary>
-        PD = 4,
-
-        /// <summary>
-        /// PR
-        /// </summary>
-        PR = 5,
-
-        /// <summary>
-        /// SD
-        /// </summary>
-        SD = 6,
-
-        /// <summary>
-        /// NA
-        /// </summary>
-        NA = 7
-    }
-
-
-    #endregion
 
 }