diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index d3ed2678d..95b18b621 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -520,6 +520,9 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                  //获取肝脏评估
                  new ReadingCalculateData (){QuestionType=QuestionType.LiverAssessment,GetStringFun=GetLiverAssessment},
+
+                  // 骨髓中是否存在局灶性 FDG亲和病灶的证据
+                  new ReadingCalculateData (){QuestionType=QuestionType.EvidenceFocalFDG,GetStringFun=GetEvidenceFocalFDG},
 				////靶病灶径线之和（SOD）
 				//new ReadingCalculateData (){QuestionType=QuestionType.SOD,GetDecimalNullFun=GetSODData},
 
@@ -1622,7 +1625,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SPD).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             if (baseLineSpd != 0)
             {
-                return (presentSpd - baseLineSpd) / baseLineSpd;
+                return (presentSpd - baseLineSpd)*100 / baseLineSpd;
             }
             else
             {
@@ -1913,10 +1916,18 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// <returns></returns>
         public async Task<string> GetPET5PS(ReadingCalculateDto inDto)
         {
-            if (inDto.IsBaseLine)
+            //if (inDto.IsBaseLine)
+            //{
+            //    return SpleenAssessment.Stabilization.GetEnumInt();
+            //}
+
+            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
             {
-                return SpleenAssessment.Stabilization.GetEnumInt();
+                return PET5PSScore.NE.GetEnumInt();
             }
+
+
+
             PET5PSScore result = PET5PSScore.X;
 
             // 最大Suvmax
@@ -1978,6 +1989,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
             }
 
+            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
+            {
+                return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
+            }
+
             var result = SUVChangeVSBaseline.NotEvaluable;
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
 
@@ -2105,7 +2121,25 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         }
 
         #endregion
+        #region 骨髓中是否存在局灶性 FDG亲和病灶的证据
 
+        /// <summary>
+        /// 骨髓中是否存在局灶性 FDG亲和病灶的证据
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        public async Task<string> GetEvidenceFocalFDG(ReadingCalculateDto inDto)
+        {
+            if (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.ExistPET && x.Answer == ReadingYesOrNo.No.GetEnumInt()))
+            {
+                return FDGAffinityFociInBM.NE.GetEnumInt();
+            }
+            else
+            {
+                return inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.EvidenceFocalFDG).Select(x => x.Answer).FirstOrDefault();
+            }
+        }
+        #endregion
 
         #region 肝脏评估
         /// <summary>
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index e2ac99422..8ace74a1f 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -2230,12 +2230,10 @@ public enum SUVChangeVSBaseline
 
 
 
-
-
-    /// <summary>
-    /// PET 5PS 评分
-    /// </summary>
-    public enum PET5PSScore
+/// <summary>
+/// PET 5PS 评分
+/// </summary>
+public enum PET5PSScore
     {
         /// <summary>
         /// 5分