diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
index 281558e0a..81f0e1a3f 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
@@ -281,6 +281,11 @@ namespace IRaCIS.Core.Application.ViewModel
         /// 上一次任务的新病灶评估为iCPD
         /// </summary>
         public bool LastTaskNewLesioniCPD { get; set; }
+
+        /// <summary>
+        /// 存在触发iRECIST后新病灶
+        /// </summary>
+        public bool ExistxIRECISTNewLesion { get; set; }
     }
 
     /// <summary>
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index 7c34faa3b..1e7a7e756 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -2352,13 +2352,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                 //上一次任务的新病灶评估为iCPD
                 LastTaskNewLesioniCPD = lastTaskCalculateDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewLesionEvaluation && x.Answer.EqEnum(NewLesionAssessment.iCPD)),
+
+                // 存在触发iRECIST后新病灶
+                ExistxIRECISTNewLesion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TriggeringIRECSIT).SelectMany(x => x.TableRowInfoList).SelectMany(x=>x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewLesionAfterTriggeringiRECSITState.Exist)),
             };
 
             // if(新靶病灶为ND&&新非靶病灶为ND&&其它既往新病灶为ND&&不存在触发iRECIST后新病灶） 
             if(inDto.QuestionInfo.Any(x=>x.QuestionType==QuestionType.NewTargetLesion&&x.Answer.EqEnum(NewTargetLesionAssessment.ND))
                && inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewNoTargetLesion && x.Answer.EqEnum(NewNoTargetLesionAssessment.ND))
                && inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.OtherNewTargetLesion && x.Answer.EqEnum(OtherPreviousNewLesionAssessment.ND))
-               && inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TriggeringIRECSIT).SelectMany(x => x.TableRowInfoList).Count()==0)
+               && !data.ExistxIRECISTNewLesion)
              {
                 //    疗效为 ND
                 result = NewLesionAssessment.ND;
@@ -2372,10 +2375,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
             // else if (前一访视新病灶评估为iCPD && (新靶病灶有存在病灶 || 新非靶病灶有存在状态病灶 || 其它既往新病灶有存在的病灶 || 触发iRECIST后新病灶有存在病灶))
             else if(data.LastTaskNewLesioniCPD &&
-                (inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewTargetLesion).SelectMany(x => x.TableRowInfoList).Count() > 0
-                || inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewNonTargetLesion).SelectMany(x => x.TableRowInfoList).Count() > 0
-                || inDto.QuestionInfo.Where(x => x.LesionType == LesionType.OtherPreviousNewLesion).SelectMany(x => x.TableRowInfoList).Count() > 0
-                || inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TriggeringIRECSIT).SelectMany(x => x.TableRowInfoList).Count() > 0
+                (inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewTargetLesion).SelectMany(x => x.TableRowInfoList).SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewTargetLesionState.Exist))
+                || inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewNonTargetLesion).SelectMany(x => x.TableRowInfoList).SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(NewNoTargetLesionState.Exist))
+                || inDto.QuestionInfo.Where(x => x.LesionType == LesionType.OtherPreviousNewLesion).SelectMany(x => x.TableRowInfoList).SelectMany(x => x.TableQuestionList).Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(OtherPreviousNewLesionState.Exist))
+                || data.ExistxIRECISTNewLesion
                 )
                 )
              {