diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 6b82c2a7e..7580a5700 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2616,7 +2616,33 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 		/// <returns></returns>
 		public async Task<string> GetPET5PSRemark(ReadingCalculateDto inDto)
 		{
-			return string.Empty;
+			List<QuestionType?> needSearchTypes = new List<QuestionType?>()
+			{
+				QuestionType.PET5PS,
+				QuestionType.PSScoreRemarks,
+			};
+
+			var dataBaseDataList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && needSearchTypes.Contains(x.ReadingQuestionTrial.QuestionType)).Select(x => new
+			{
+				x.Answer,
+				x.ReadingQuestionTrial.QuestionType
+			}).ToListAsync(); ;
+
+
+			// 数据库中最大SUVmax
+			var pET5PS = dataBaseDataList.Where(x => x.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstIsNullReturnEmpty();
+
+            // 如果SUVmax没变 就不重新计算
+            if (pET5PS == (await GetPET5PS(inDto)).ToString())
+            {
+                return dataBaseDataList.Where(x => x.QuestionType == QuestionType.PSScoreRemarks).Select(x => x.Answer).FirstIsNullReturnEmpty();
+
+            }
+            else 
+            {
+				return string.Empty;
+			}
+			
 		}
 		#endregion