diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/DTO/DicomSeriesModel.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/DTO/DicomSeriesModel.cs
index e6f2443cb..ceca4a370 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/DTO/DicomSeriesModel.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/DTO/DicomSeriesModel.cs
@@ -52,6 +52,19 @@ namespace IRaCIS.Core.Application.Contracts.Dicom.DTO
         public string ImageResizePath { get; set; } 
     }
 
+    public class StudyInstanceInfo
+    {
+
+        public int ShowOrder { get; set; }
+
+
+        public decimal RowIndex { get; set; }
+
+        public Guid? SeriesId { get; set; }
+
+        public Guid? StudyId { get; set; }
+        public Guid? InstanceId { get; set; }
+    }
     public class InstanceBasicInfo
     {
         public Guid Id { get; set; }
diff --git a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
index 221bd30a9..5d435d1e2 100644
--- a/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/SubjectVisitService.cs
@@ -32,6 +32,7 @@ namespace IRaCIS.Core.Application.Services
         private readonly IRepository<DicomInstance> _dicomInstanceRepository;
         private readonly IRepository<VisitTask> _visitTaskRepository;
         private readonly IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository;
+        private readonly IRepository<ReadingCustomTag> _readingCustomTagRepository;
         private readonly IRepository<NoneDicomStudyFile> _noneDicomStudyFileRepository;
         private readonly IRepository<ReadingPeriodPlan> _readingPeriodPlanRepository;
         private readonly IRepository<Subject> _subjectRepository;
@@ -50,6 +51,7 @@ namespace IRaCIS.Core.Application.Services
                  IRepository<DicomInstance> dicomInstanceRepository,
                 IRepository<VisitTask> visitTaskRepository,
                    IRepository<ReadingTableAnswerRowInfo> readingTableAnswerRowInfoRepository,
+                     IRepository<ReadingCustomTag> readingCustomTagRepository,
               IRepository<NoneDicomStudyFile> noneDicomStudyFileRepository,
               IRepository<ReadingPeriodPlan> readingPeriodPlanRepository,
             IRepository<Subject> subjectRepository,
@@ -70,6 +72,7 @@ namespace IRaCIS.Core.Application.Services
             this._dicomInstanceRepository = dicomInstanceRepository;
             this._visitTaskRepository = visitTaskRepository;
             this._readingTableAnswerRowInfoRepository = readingTableAnswerRowInfoRepository;
+            this._readingCustomTagRepository = readingCustomTagRepository;
             this._noneDicomStudyFileRepository = noneDicomStudyFileRepository;
             this._readingPeriodPlanRepository = readingPeriodPlanRepository;
             _subjectRepository = subjectRepository;
@@ -574,15 +577,28 @@ namespace IRaCIS.Core.Application.Services
                 //已经签名的任务，加关键序列
                 if (taskInfo.ReadingTaskState == ReadingTaskState.HaveSigned)
                 {
-                    var rowInfoList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId && x.StudyId != null).OrderBy(x => x.ReadingQuestionTrial.ShowOrder).ThenBy(x => x.RowIndex).Select(x => new
+                    var rowInfoList = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId && x.StudyId != null).OrderBy(x => x.ReadingQuestionTrial.ShowOrder).ThenBy(x => x.RowIndex).Select(x => new StudyInstanceInfo()
                     {
-                        x.ReadingQuestionTrial.ShowOrder,
-                        x.RowIndex,
-                        x.SeriesId,
-                        x.StudyId,
-                        x.InstanceId,
+                        ShowOrder = x.ReadingQuestionTrial.ShowOrder,
+                        RowIndex = x.RowIndex,
+                        SeriesId = x.SeriesId,
+                        StudyId = x.StudyId,
+                        InstanceId = x.InstanceId,
                     }).ToListAsync();
 
+
+
+                    var customoList = await _readingCustomTagRepository.Where(x => x.VisitTaskId == indto.VisitTaskId && x.StudyId != null).Select(x => new StudyInstanceInfo()
+                    {
+                        ShowOrder = 0,
+                        RowIndex = 0m,
+                        SeriesId = x.SeriesId,
+                        StudyId = x.StudyId,
+                        InstanceId = x.InstanceId,
+                    }).ToListAsync();
+
+                    rowInfoList.AddRange(customoList);
+
                     var thisStudyIds = rowInfoList.OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).Select(x => x.StudyId).Distinct().ToList();
                     var thisSeriesIdIds = rowInfoList.Where(x => x.SeriesId != null).OrderBy(x => x.ShowOrder).ThenBy(x => x.RowIndex).Select(x => x.SeriesId).Distinct().ToList();
                     if (rowInfoList.Count > 0)
@@ -649,7 +665,7 @@ namespace IRaCIS.Core.Application.Services
 
 
 
-                            studyList.Add(thisVisitTaskStudy);
+                            studyList.Insert(0,thisVisitTaskStudy);
 
                         }