修改

IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs

@@ -2615,9 +2615,35 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 		/// <param name="inDto"></param>
 		/// <returns></returns>
 		public async Task<string> GetPET5PSRemark(ReadingCalculateDto inDto)
+		{
+			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