diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index fa4842694..82d538458 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -1230,6 +1230,11 @@
             非淋巴结靶病灶长径之和  decimal
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.TargetLesionCalculateDto.SODPercent">
+            <summary>
+            SOD变化百分比
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.TargetLesionCalculateDto.DiameterLessThan10">
             <summary>
             所有淋巴结靶病灶的短径小于10mm
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
index a226a5faf..0494c18fc 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
@@ -23,6 +23,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public decimal SumOfDiameter { get; set; }
 
+        /// <summary>
+        /// SOD变化百分比
+        /// </summary>
+        public decimal SODPercent { get; set; }
+
         /// <summary>
         /// 所有淋巴结靶病灶的短径小于10mm
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
index a11d23efa..80f47f384 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCalculateService.cs
@@ -591,7 +591,7 @@ namespace IRaCIS.Core.Application.Service
 		{
 			if (inDto.IsBaseLine)
 			{
-				return nameof(YesOrNoOrNa.NA);
+				return YesOrNoOrNa.NA.GetEnumInt();
 			}
 
 			var LastVisitTaskId = await this.GetLastVisitTaskId(inDto);
@@ -615,7 +615,7 @@ namespace IRaCIS.Core.Application.Service
 				}
 			}
 
-			return isExists? nameof(YesOrNoOrNa.Yes) : nameof(YesOrNoOrNa.No);
+			return isExists? YesOrNoOrNa.Yes.GetEnumInt() : YesOrNoOrNa.No.GetEnumInt();
 			
 		}
 		#endregion
@@ -659,7 +659,7 @@ namespace IRaCIS.Core.Application.Service
 			var newLesions = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.NewLesions).Select(x => x.Answer).FirstOrDefault();
 			var result = await _tumorAssessmentRepository.Where(x => x.TargetLesion.GetEnumInt() == targetLesion && x.NonTargetLesions.GetEnumInt() == noTargetLesion && x.NewLesion.GetEnumInt() == newLesions).Select(x => x.OverallEfficacy).ToListAsync();
 
-			return result.Count == 0 ? string.Empty : result[0].GetEnumInt();
+			return result.Count == 0 ? OverallAssessment.NA.GetEnumInt() : result[0].GetEnumInt();
 		}
 		#endregion
 
@@ -860,6 +860,9 @@ namespace IRaCIS.Core.Application.Service
 				//所有淋巴结靶病灶的短径小于10mm bool
 				DiameterLessThan10 = true,
 
+				// SOD变化百分比
+				SODPercent = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()),
+
 				// SOD 百分比与基线期SOD相比减小≥30% bool
 				SODPercentBigger30 = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SODPercent).Sum(x => x.Answer.IsNullOrEmptyReturn0()) >= (decimal)0.3,
 
@@ -959,7 +962,7 @@ namespace IRaCIS.Core.Application.Service
                 result = TargetAssessment.NE;
             }
 
-            else if (!resultData.ExixtsNETargetLesion)
+            else if (!resultData.ExixtsNETargetLesion&& resultData.SumOfDiameter==0&& resultData.SODPercent == 0)
             {
                 result = TargetAssessment.ND;
             }
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
index c6446c0b9..0f01da641 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTaskService.cs
@@ -2011,13 +2011,27 @@ namespace IRaCIS.Application.Services
                 throw new BusinessValidationFailedException($"相同问题传入两次！");
             }
 
-            var questions = await _readingTableQuestionTrialRepository.Where(x => tableQuestionIds.Contains(x.Id) && x.MaxRowCount != null && x.MaxRowCount != 0).ToListAsync();
+            var questionInfo = await _readingQuestionTrialRepository.Where(x => x.Id == inDto.QuestionId).FirstNotNullAsync();
+            if (questionInfo.MaxQuestionCount!=null)
+            {
+                if (questionInfo.MaxQuestionCount < 
+                    (
+                    (await _readingTableAnswerRowInfoRepository.Where(x => x.RowIndex != inDto.RowIndex && ((x.RowIndex % 1) == 0) && x.VisitTaskId == inDto.VisitTaskId
+                   && x.QuestionId == inDto.QuestionId
+                ).CountAsync()) + 1))
+                {
+                    throw new BusinessValidationFailedException($"当前提交问题最大问题数为{questionInfo.MaxQuestionCount}！");
+                }
+            }
 
-            foreach (var item in questions)
+
+            var tableQuestions = await _readingTableQuestionTrialRepository.Where(x => tableQuestionIds.Contains(x.Id) && x.MaxRowCount != null && x.MaxRowCount != 0).ToListAsync();
+
+            foreach (var item in tableQuestions)
             {
                 var answer = inDto.AnswerList.Where(x => x.TableQuestionId == item.Id).Select(x => x.Answer).FirstOrDefault();
 
-                var rowCount = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.TableQuestionId == item.Id && x.Answer == answer && x.RowIndex != inDto.RowIndex).CountAsync();
+                var rowCount = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.TableQuestionId == item.Id&& ((x.RowIndex % 1) == 0) && x.Answer == answer && x.RowIndex != inDto.RowIndex).CountAsync();
 
                 if (rowCount > item.MaxRowCount.Value - 1)
                 {