diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 732a51c8a..114cd421c 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -2127,6 +2127,11 @@
             RowIndex
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.GetTableAnswerRowInfoOutDto.IsDicomReading">
+            <summary>
+            是Dicom阅片
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.GetTableAnswerRowInfoOutDto.MeasureData">
             <summary>
             MeasureData
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
index 9652183e5..28351f972 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingImageTaskViewModel.cs
@@ -284,7 +284,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public Guid QuestionId { get; set; }
 
-        public decimal RowIndex { get; set; }
+        public Guid RowId { get; set; }
     }
 
     public class GetDicomReadingQuestionAnswerInDto
@@ -457,6 +457,14 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public string RowIndex { get; set; }
 
+
+        /// <summary>
+        /// 是Dicom阅片
+        /// </summary>
+        public bool IsDicomReading { get; set; } = true;
+
+        public string BlindName { get; set; } = string.Empty;
+
         /// <summary>
         /// MeasureData
         /// </summary>
@@ -1161,6 +1169,10 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public decimal FristAddTaskNum { get; set; } = 0;
 
+        public string BlindName { get; set; } = string.Empty;
+
+        public bool IsDicomReading { get; set; } = true;
+
         public List<SubmitTableQuestionInfo> AnswerList { get; set; }
 
     }
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 49a706246..5f83a9593 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -709,6 +709,8 @@ namespace IRaCIS.Application.Services
 
                 var rowInfo = tableAnsweRowInfos.Where(y => y.RowIndex == x && y.QuestionId == item.Id).FirstOrDefault();
 
+                answers.Add("BlindName", rowInfo.BlindName);
+                answers.Add("IsDicomReading", rowInfo.IsDicomReading.ToString());
                 answers.Add("MeasureData", rowInfo == null ? string.Empty : rowInfo.MeasureData);
                 answers.Add("RowIndex", x.ToString());
                 answers.Add("RowId", rowInfo.Id.ToString());
@@ -886,7 +888,7 @@ namespace IRaCIS.Application.Services
         public async Task<IResponseOutput> DeleteReadingRowAnswer(DeleteReadingRowAnswerInDto inDto)
         {
 
-            var deleteRowInfo = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == inDto.RowIndex && x.QuestionId == inDto.QuestionId).FirstNotNullAsync();
+            var deleteRowInfo = await _readingTableAnswerRowInfoRepository.Where(x =>x.Id== inDto.RowId).FirstNotNullAsync();
             if (deleteRowInfo == null)
             {
                 return ResponseOutput.Ok(true);
@@ -898,8 +900,8 @@ namespace IRaCIS.Application.Services
                 throw new BusinessValidationFailedException($"当前病灶分裂出其他病灶或者其他病灶合并到了当前病灶,删除失败");
             }
 
-            await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == inDto.RowIndex && x.QuestionId == inDto.QuestionId);
-            await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.VisitTaskId == inDto.VisitTaskId && x.RowIndex == inDto.RowIndex && x.QuestionId == inDto.QuestionId);
+            await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.RowId== inDto.RowId);
+            await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.Id==inDto.RowId);
             await _readingTableAnswerRowInfoRepository.SaveChangesAsync();
 
 
@@ -1026,6 +1028,8 @@ namespace IRaCIS.Application.Services
             rowInfo.TrialId = inDto.TrialId;
             rowInfo.QuestionId = inDto.QuestionId;
             rowInfo.MeasureData = inDto.MeasureData;
+            rowInfo.BlindName = inDto.BlindName;
+            rowInfo.IsDicomReading = inDto.IsDicomReading;
             rowInfo.IsCurrentTaskAdd = isCurrentTaskAdd;
             rowInfo.FristAddTaskNum = inDto.FristAddTaskNum;
             rowInfo.RowIndex = inDto.RowIndex;
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 093401f9d..18c728ff1 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -146,21 +146,21 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                                 );
                         });
 
-                        var maxNewLesionsRowIndex = tableRowAnswers.Where(x => x.QuestionId == newLesionQuestion.Id).OrderByDescending(x => x.RowIndex).Select(x => x.RowIndex).FirstOrDefault();
+                        var maxNewLesionsRowIndex = tableRowAnswers.Where(x => x.QuestionId == alwaysNewLesionsQuestion.Id).OrderByDescending(x => x.RowIndex).Select(x => x.RowIndex).FirstOrDefault();
                         maxNewLesionsRowIndex = Math.Floor(maxNewLesionsRowIndex);
 
                       
                         foreach (var item in tableRowAnswers.Where(x => x.QuestionId == newLesionQuestion.Id).OrderBy(x=>x.RowIndex))
                         {
-                            maxNewLesionsRowIndex++;
+                         
                             item.QuestionId = alwaysNewLesionsQuestion.Id;
-                            item.RowIndex = maxNewLesionsRowIndex;
+                          
 
                             foreach (var tableAnswer in tableAnswers.Where(y => y.RowId == item.Id))
                             {
                                 tableAnswer.QuestionId = alwaysNewLesionsQuestion.Id;
                                 tableAnswer.TableQuestionId = alwaysTableQuestionIdDic[tableAnswer.TableQuestionId];
-                                tableAnswer.RowIndex = maxNewLesionsRowIndex;
+                               
                             }
                         }
 
diff --git a/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingTableAnswerRowInfo.cs b/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingTableAnswerRowInfo.cs
index cde854016..c2b033d33 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingTableAnswerRowInfo.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingFormAnswer/ReadingTableAnswerRowInfo.cs
@@ -49,6 +49,12 @@ namespace IRaCIS.Core.Domain.Models
 
 		public bool IsCanEditPosition { get; set; } = false;
 
+
+		/// <summary>
+		/// 是Dicom阅片
+		/// </summary>
+		public bool IsDicomReading { get; set; } = true;
+
 		/// <summary>
 		/// RowIndex
 		/// </summary>
@@ -80,7 +86,7 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public Guid? MergeRowId { get; set; }
 
-
+		public string BlindName { get; set; } = string.Empty;
 
 		/// <summary>
 		/// 第一次添加的任务ID