diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index 1df159e43..b144be19e 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -301,7 +301,7 @@ namespace IRaCIS.Application.Services
 
             var readingId = await _readingClinicalDataRepository.Where(x => x.Id == inDto.ReadingClinicalDataId).Select(x => x.ReadingId).FirstOrDefaultAsync();
 
-            await this.iServiceProvider.GetService<IReadingImageTaskService>().AddOncologyTask(readingId);
+            //await this.iServiceProvider.GetService<IReadingImageTaskService>().AddOncologyTask(readingId);
 
             await DealVisiTaskClinicalDataSignedAsync(data.TrialId, data.SubjectId, data.ReadingId, data.IsVisit, inDto.TrialReadingCriterionId);
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index c281fcdc8..9008dd605 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -909,13 +909,13 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 				if (stateQuestion != null)
 				{
 
-					// 找到主病灶的状态
-					var state = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == (int)Math.Floor(inDto.RowNumber) && x.TableQuestionId == stateQuestion.Id).Select(x => x.Answer).FirstOrDefaultAsync();
+					//// 找到主病灶的状态
+					//var state = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == (int)Math.Floor(inDto.RowNumber) && x.TableQuestionId == stateQuestion.Id).Select(x => x.Answer).FirstOrDefaultAsync();
 
 					// 长径
 					var majorAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
 					x.VisitTaskId == inDto.VisitTaskId &&
-					x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					x.RowIndex == inDto.RowNumber &&
 					x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
 					x.QuestionId == targetQuestion.Id
 					).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
@@ -923,7 +923,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 					// 短径
 					var shortAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
 					x.VisitTaskId == inDto.VisitTaskId &&
-					x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					x.RowIndex == inDto.RowNumber &&
 					x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis &&
 					x.QuestionId == targetQuestion.Id
 					).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
@@ -946,7 +946,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
 						var lowPPDInfo = await GetLowPPDInfo(new GetPPDInfoInDto()
 						{
-							RowIndex = (int)Math.Floor(inDto.RowNumber),
+							RowIndex = inDto.RowNumber,
 							VisitTaskId = inDto.VisitTaskId,
 							QuestionId = inDto.QuestionId,
 						});
@@ -977,18 +977,18 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 							}
 							);
 						}
-						else if (state == TargetState.DiseaseProgression.GetEnumInt())
-						{
-							await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
-								x.VisitTaskId == inDto.VisitTaskId &&
-								x.RowIndex == inDto.RowNumber &&
-								x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
-								x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
-								{
-									Answer = TargetState.Exist.GetEnumInt()
-								}
-								);
-						}
+						//else if (state == TargetState.DiseaseProgression.GetEnumInt())
+						//{
+						//	//await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
+						//	//	x.VisitTaskId == inDto.VisitTaskId &&
+						//	//	x.RowIndex == inDto.RowNumber &&
+						//	//	x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
+						//	//	x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
+						//	//	{
+						//	//		Answer = TargetState.Exist.GetEnumInt()
+						//	//	}
+						//	//	);
+						//}
 
 
 					}
@@ -1022,16 +1022,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                         // 长径
 						var majorAxis = (await _readingTableQuestionAnswerRepository.Where(x => 
-                        x.VisitTaskId == inDto.VisitTaskId && 
-                        x.RowIndex == (int)Math.Floor(inDto.RowNumber) && 
-                        x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
+                        x.VisitTaskId == inDto.VisitTaskId &&
+						 x.RowIndex >= (int)Math.Floor(inDto.RowNumber) && x.RowIndex < ((int)Math.Floor(inDto.RowNumber) + 1) &&
+						x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
                         x.QuestionId== targetQuestion.Id
 						).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
 
 						// 短径
 						var shortAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
 						x.VisitTaskId == inDto.VisitTaskId &&
-						x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					    x.RowIndex >= (int)Math.Floor(inDto.RowNumber) && x.RowIndex < ((int)Math.Floor(inDto.RowNumber) + 1) &&
 						x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis &&
 						x.QuestionId == targetQuestion.Id
 						).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
@@ -2949,7 +2949,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
                 {
                     // 当前访视淋巴结靶病灶的状态全部变为“消失”
-                    eqCR = eqCR && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(TargetState.Loss));
+                    eqCR = eqCR && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer.EqEnum(TargetState.Loss)|| x.Answer.EqEnum(TargetState.TooSmall)));
                 }
             }
             // 1、与基线相比SPD变化的百分比 ≥50%，；
@@ -2998,9 +2998,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 result = TargetAssessment.NE;
             }
-            //当前访视非淋巴结靶病灶全部消失；
-            //并且  2.当前访视淋巴结靶病灶的状态全部变为“消失”。	
-            else if (eqCR)
+			//当前访视非淋巴结靶病灶全部消失 && （当前访视淋巴结靶病灶的状态全部变为“消失” 或者 "太小" ）
+			else if (eqCR)
             {
                 result = TargetAssessment.CR;
             }