diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index b598ef10b..4f4bc1cf9 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -465,6 +465,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             List<ReadingCalculateData> calculateList = new List<ReadingCalculateData>()
             {
+                   // 是否存在Pet
+                 new ReadingCalculateData (){QuestionType=QuestionType.ExistPET,GetStringFun=GetExistPET},
 
                 //垂直径乘积之和（SPD）
 				new ReadingCalculateData (){QuestionType=QuestionType.SPD,GetDecimalFun=GetSPD},
@@ -520,8 +522,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                  // 影像学整体肿瘤评估
                  new ReadingCalculateData (){QuestionType=QuestionType.ImgOncology,GetStringFun=GetImgOncology},
 
-                // 是否存在Pet
-                 new ReadingCalculateData (){QuestionType=QuestionType.ExistPET,GetStringFun=GetExistPET},
+             
                      //SUVmax
                  new ReadingCalculateData (){QuestionType=QuestionType.SUVmax,GetDecimalFun=GetSuvMax},
 
@@ -1940,6 +1941,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
 
 
+            var existPET = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ExistPET).Select(x => x.Answer).FirstOrDefault();
+            if (existPET.EqEnum(ReadingYesOrNo.No))
+            {
+                return PET5PSScore.NE.GetEnumInt();
+            }
+
 
             PET5PSScore result = PET5PSScore.X;
 
@@ -1952,7 +1959,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             // 纵膈血池
             var MediastinumSUVmax = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.MediastinumSUVmax).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
 
-            var existPET = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.ExistPET).Select(x => x.Answer).FirstOrDefault();
+        
             if (existPET.EqEnum(ReadingYesOrNo.No))
             {
                 result = PET5PSScore.NE;
@@ -2077,6 +2084,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 return FDGPETOverallAssessment.NA.GetEnumInt();
             }
 
+            var existPET =await GetExistPET(inDto);
+            if (existPET.EqEnum(ReadingYesOrNo.No))
+            {
+                return FDGPETOverallAssessment.NE.GetEnumInt();
+            }
+
             //FDGPETOverallAssessment result = FDGPETOverallAssessment.NA;
 
             // PET5PS
@@ -2202,7 +2215,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
             var rowInfo = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
 
-            
+            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
+            {
+                return string.Empty;
+            }
 
             var tableQuestions = rowInfo.SelectMany(x => x.TableQuestionList).ToList();