diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index e8f3bde8c..64aa58613 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -1806,13 +1806,6 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.ChangeAllLowestIncrease(IRaCIS.Core.Application.Service.Reading.Dto.ChangeAllTaskDto)">
-            <summary>
-            修改与整个访视期间SOD最低点相比增加的值（mm）
-            </summary>
-            <param name="inDto"></param>
-            <returns></returns>
-        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.ChangeAllLowVisitName(IRaCIS.Core.Application.Service.Reading.Dto.ChangeAllTaskDto)">
             <summary>
             修改最低方式点名称
@@ -1870,6 +1863,77 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.CompareBaselineSPD(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            与基线相比SPD变化的百分比
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetSplenoncusChange(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            与基线相比脾肿大增加的百分比
+            [（当前垂直径-130）-（基线垂直径-130）]/（基线垂直径-130）
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetSplenoncusAdd(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            与最低点相比脾脏垂直径长度的增加值
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetLowestSplenoncusVisit(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            脾肿垂直径最低点访视
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetSplenicEvaluation(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            获取脾脏评估
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetPET5PS(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            获取PET5PS评分
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetUptakeChange(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            与基线相比摄取值变化
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetFDGPETOverallAssessment(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            FDG-PET总体评估结果
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetBaseLineSpleenLength(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            获取基线脾脏长度
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetSplenoncusDiameterChange(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
+            <summary>
+            与最低点相比脾脏垂直径长度的增加值
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.GetTargetLesionEvaluate(IRaCIS.Core.Application.Service.Reading.Dto.ReadingCalculateDto)">
             <summary>
             获取靶病灶评估
@@ -1898,14 +1962,6 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.LuganoCalculateService.EnumToString``1(System.Collections.Generic.List{``0})">
-            <summary>
-            枚举数组转字符串数组 方法名简短
-            </summary>
-            <typeparam name="T"></typeparam>
-            <param name="emus"></param>
-            <returns></returns>
-        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.PCWG3CalculateService.GetDeleteLesionStatrIndex(IRaCIS.Core.Application.Service.Reading.Dto.DeleteReadingRowAnswerInDto)">
             <summary>
             删除病灶获取起始病灶序号
diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index 3b1b08c64..ea0444588 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -951,7 +951,7 @@ namespace IRaCIS.Core.Application.Image.QA
                     break;
                 case TrialQCProcess.DoubleAudit:
 
-                    visitList = await _subjectVisitRepository.Where(x => x.TrialId == inDto.TrialId && (x.CurrentActionUserId == _userInfo.Id || (x.AuditState != AuditStateEnum.QCPassed))).Include(x => x.Subject).ToListAsync();
+                    visitList = await _subjectVisitRepository.Where(x => x.TrialId == inDto.TrialId && x.PreliminaryAuditUserId!= _userInfo.Id&&(x.CurrentActionUserId == _userInfo.Id || (x.AuditState != AuditStateEnum.QCPassed))).Include(x => x.Subject).ToListAsync();
                     if (subjectVisit != null)
                     {
                         return new GetNextIQCQualityOutDto()
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index e933add62..9b7a765aa 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1927,10 +1927,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         //        },
         //          //ND/PD/CR/NE/PR/SD	PMD	PMD/CMR/PMR/NMR/NE	PMD/PD
         //        new CalculationDto(){
-        //        Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND }),
-        //        Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE }),
-        //        Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE}),
-        //        Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.ND }),
+        //        Column1=ReadingCommon.EnumToString(new List<CTMRIOverallAssessment>() { CTMRIOverallAssessment.ND, CTMRIOverallAssessment.PD,CTMRIOverallAssessment.CR,CTMRIOverallAssessment.NE,CTMRIOverallAssessment.PR,CTMRIOverallAssessment.SD}),
+        //        Column2=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.PMD, }),
+        //        Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() {FDGPETOverallAssessment.PMD, FDGPETOverallAssessment.CMR,FDGPETOverallAssessment.PMR, FDGPETOverallAssessment.NMR, FDGPETOverallAssessment.NE }),
+        //        Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.PMD }),
         //        },
         //          //ND	NE	NE	ND
         //        new CalculationDto(){
@@ -1988,9 +1988,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         //        Column3=ReadingCommon.EnumToString(new List<FDGPETOverallAssessment>() { FDGPETOverallAssessment.NE}),
         //        Column4=ReadingCommon.EnumToString(new List<ImagingOverallAssessment_Lugano>() { ImagingOverallAssessment_Lugano.ND }),
         //        },
-        //    }
+        //    };
         //}
-        
+
         #endregion
 
         #region 获取基线脾脏长度