diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 622056ea4..7c64cde1a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1822,7 +1822,11 @@ namespace IRaCIS.Application.Services
                 }).ToListAsync();
 
                 var markquestionId = inDto.QuestionMarkInfoList.Select(y => y.QuestionId).ToList();
-                await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId&& markquestionId.Contains(x.QuestionId));
+
+                var needDeleteMarkQuestonIds = inDto.Answers.Where(x => x.Answer == string.Empty).Select(x => x.Id).ToList();
+
+				await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && needDeleteMarkQuestonIds.Contains(x.QuestionId));
+				await _readingTaskQuestionMarkRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId&& markquestionId.Contains(x.QuestionId));
                 var datetime = DateTime.Now;
 
                 var markList = _mapper.Map<List<QuestionMarkInfo>, List<ReadingTaskQuestionMark>>(inDto.QuestionMarkInfoList);