diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index 98240a51a..346c40b64 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -255,7 +255,7 @@ namespace IRaCIS.Core.Application.Contracts.DTO
 
     public class TrialVisitQADTO
     {
-
+        public bool ExistsManual { get; set; }
         public SubjectClinicalDataDto SubjectClinicalData { get; set; } = new SubjectClinicalDataDto();
 
         public List<NoneDicomStudyView> NoneDicomStudyList { get; set; } = new List<NoneDicomStudyView>();
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 5ede37c99..b5a41f3d9 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -21,15 +21,19 @@ namespace IRaCIS.Core.Application.Image.QA
         private readonly IRepository<TrialQCQuestion> _trialQCQuestionRepository;
         private readonly IRepository<ConsistencyCheckFile> _consistencyCheckFileRepository;
 
+        private IReadingImageTaskService _IReadingImageTaskService;
+
         public QCListService(
             IRepository<SubjectVisit> subjectVisitRepository,
            IRepository<Trial> trialRepository,
             IRepository<ClinicalDataTrialSet> clinicalDataTrialSet,
               IRepository<TrialQCQuestionAnswer> trialQCQuestionAnswerRepository,
               IRepository<TrialQCQuestion> trialQCQuestionRepository,
+              IReadingImageTaskService IReadingImageTaskService,
              IRepository<ConsistencyCheckFile> consistencyCheckFileRepository
             )
         {
+            this._IReadingImageTaskService = IReadingImageTaskService;
             _subjectVisitRepository = subjectVisitRepository;
             this._trialQCQuestionAnswerRepository = trialQCQuestionAnswerRepository;
             this._trialQCQuestionRepository = trialQCQuestionRepository;
@@ -606,6 +610,7 @@ namespace IRaCIS.Core.Application.Image.QA
             {
                 QCQuestionAnswerList = qacheckList,
                 StudyList = temp.StudyList,
+                ExistsManual= (await _IReadingImageTaskService.GetManualList(new GetManualListInDto() { TrialId = sv.TrialId })).Count() > 0,
                 SeriesList = temp.SeriesList,
                 RelationInfo = await GetVisitQCSubjectInfo(subjectVisitId),
                 NoneDicomStudyList = await _repository.Where<NoneDicomStudy>(t => t.SubjectVisitId == subjectVisitId).ProjectTo<NoneDicomStudyView>(_mapper.ConfigurationProvider).ToListAsync(),
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
index 79dfc0603..88728c9a4 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IReadingImageTaskService.cs
@@ -33,5 +33,7 @@ namespace IRaCIS.Core.Application.Contracts
         Task<IResponseOutput> SubmitOncologyReadingInfo(SubmitOncologyReadingInfoInDto inDto);
 
         Task AddOncologyTask(Guid oncologModuleId);
+
+        Task<List<GetManualListOutDto>> GetManualList(GetManualListInDto inDto);
     }
 }
\ No newline at end of file
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 1c52065c3..2d1f40204 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -147,26 +147,36 @@ namespace IRaCIS.Application.Services
         public async Task<List<GetManualListOutDto>> GetManualList(GetManualListInDto inDto)
         {
             UserTypeEnum userType = (UserTypeEnum)_userInfo.UserTypeEnumInt;
-            //_userInfo.UserTypeId 
+
+
+            List<UserTypeEnum> canViewUserType = new List<UserTypeEnum>()
+            {
+                UserTypeEnum.IndependentReviewer,
+                UserTypeEnum.IQC,
+
+            };
 
             return await _trialDocumentRepository.Where(x => x.TrialId == inDto.TrialId
-            && x.TrialDocConfirmedUserList.Any(y => y.ConfirmUserId == _userInfo.Id)
+            && x.TrialDocConfirmedUserList.Any(y => y.ConfirmUserId == _userInfo.Id && y.ConfirmTime != null)
             && x.NeedConfirmedUserTypeList.Any(y => y.NeedConfirmUserTypeId == _userInfo.UserTypeId))
-             .Where(t => t.FileType.Code == "2" || t.FileType.Code == "6")
-				   .Select(x => new GetManualListOutDto()
-				   {
-                       Id=x.Id,
-					   Name = x.Name,
-					   Path = x.Path
-				   }).ToListAsync();
-		}
+            .WhereIf(userType== UserTypeEnum.IndependentReviewer, t => t.FileType.Code == "2" || t.FileType.Code == "6")
+            .WhereIf(userType == UserTypeEnum.IQC, t => t.FileType.Code == "4" || t.FileType.Code == "5")
+            .WhereIf(!canViewUserType.Contains(userType),t=>false)
+             .IgnoreQueryFilters()
+                   .Select(x => new GetManualListOutDto()
+                   {
+                       Id = x.Id,
+                       Name = x.Name,
+                       Path = x.Path
+                   }).ToListAsync();
+        }
 
-		/// <summary>
-		/// 获取任务附加问题
-		/// </summary>
-		/// <param name="inDto"></param>
-		/// <returns></returns>
-		[HttpPost]
+        /// <summary>
+        /// 获取任务附加问题
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
         public async Task<(List<TrialAdditionaQuestion>, bool)> GetTaskAdditionalQuestion(GetTaskAdditionalQuestionInDto inDto)
         {
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index c2373fe8d..8fcfa0e0e 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -766,7 +766,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// <returns></returns>
         public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
         {
+            if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
+            {
 
+                return;
+            }
             var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null)
       && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
       )
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
index 845f43f6e..f396c0497 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/PCWG3CalculateService.cs
@@ -1027,6 +1027,13 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
         public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
         {
+
+            if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
+            {
+
+                return;
+            }
+
             var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null)
        && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
        )
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index 85eee1514..c44e8815c 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -633,6 +633,13 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
         {
 
+            if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
+            {
+
+                return;
+            }
+          
+
             var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null)
       && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
       )
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
index 3fd7eecc2..bd528675f 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1_BMCalculateService.cs
@@ -629,6 +629,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
         {
 
+            if (await _readingTaskQuestionAnswerRepository.AnyAsync(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ImageQualityAssessment && x.VisitTaskId == inDto.VisitTaskId && x.Answer == ImageQualityEvaluation.Abnormal.GetEnumInt()))
+            {
+
+                return;
+            }
+
             var tableAnswerList = await _readingTableQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && (x.Answer == string.Empty || x.Answer == null)
       && x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State
       )
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 7ed9a7783..e17780ed5 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -16,11 +16,26 @@ namespace IRaCIS.Core.Domain.Share
         public static readonly string Group = "group";
     }
 
+    /// <summary>
+    /// 影像质量评估
+    /// </summary>
+    public enum ImageQualityEvaluation
+    {
+        /// <summary>
+        /// 正常
+        /// </summary>
+        Normal = 1,
 
-	/// <summary>
-	/// 语言类型
-	/// </summary>
-	public enum LanguageType
+        /// <summary>
+        /// 不正常
+        /// </summary>
+        Abnormal = 2,
+    }
+
+    /// <summary>
+    /// 语言类型
+    /// </summary>
+    public enum LanguageType
 	{
 
 		/// <summary>
@@ -1490,7 +1505,12 @@ namespace IRaCIS.Core.Domain.Share
         /// </summary>
         IsBrainMetastasis =43,
 
-       
+        /// <summary>
+        /// 影像质量评估
+        /// </summary>
+        ImageQualityAssessment=44,
+
+
     }
 
     /// <summary>