diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
index ff52940a3..9b98c98cb 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingCalculateViewModel.cs
@@ -250,6 +250,37 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public string TaskBlindName { get; set; }
 
         public string SubjectID { get; set; }
+
+        /// <summary>
+        /// 靶段
+        /// </summary>
+        public string TargetSegment { get; set; }
+
+        /// <summary>
+        /// 靶段备注
+        /// </summary>
+        public string TargetSegmentRemarks { get; set; }
+
+        /// <summary>
+        /// ROI段落总长度
+        /// </summary>
+        public string ROIAllLength { get; set; }
+
+        /// <summary>
+        /// 回撤中的图像帧数
+        /// </summary>
+        public string PullbackFrameCount { get; set; }
+
+        /// <summary>
+        /// 斑块类型
+        /// </summary>
+        public string PlaqueType { get; set; }
+
+        /// <summary>
+        /// 访视点备注（如有）
+        /// </summary>
+        public string AdjustReason { get; set; }
+
     }
 
     public class OCTFCTUploadData
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
index ed0469fe2..672413414 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IVUSCalculateService.cs
@@ -1,4 +1,6 @@
-using IRaCIS.Core.Application.Service.Reading.Dto;
+using DocumentFormat.OpenXml.Spreadsheet;
+using IRaCIS.Core.Application.Interfaces;
+using IRaCIS.Core.Application.Service.Reading.Dto;
 using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Infra.EFCore.Common;
 using IRaCIS.Core.Infrastructure;
@@ -6,6 +8,7 @@ using MassTransit;
 using Microsoft.AspNetCore.Http;
 using Microsoft.AspNetCore.Mvc;
 using Microsoft.Extensions.Logging;
+using Newtonsoft.Json;
 
 namespace IRaCIS.Core.Application.Service.ReadingCalculate
 {
@@ -18,6 +21,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository,
         IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository,
         IRepository<OrganInfo> _organInfoRepository,
+        ISubjectVisitService iSubjectVisitService,
+        IRepository<Dictionary> _dictionaryRepository,
         IRepository<ReadingGlobalTaskInfo> _readingGlobalTaskInfoRepository,
         IRepository<SubjectVisit> _subjectVisitRepository,
         IRepository<TumorAssessment_IRECIST1Point1> _tumorAssessmentRepository,
@@ -414,10 +419,64 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Include(x=>x.Subject).FirstNotNullAsync();
 
+            //靶段
+            var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+
+            //斑块类型
+            var plaqueTypedic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+
+
+       
+
+            var awswerList=await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId).Include(x=>x.ReadingQuestionTrial).ToListAsync();
+
+
+
+            var targetSegmentAnswer = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.TargetSegment).Select(x => x.Answer).FirstOrDefault() ?? string.Empty;
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var data= JsonConvert.DeserializeObject<List<string>>(targetSegmentAnswer);
+                targetSegmentAnswer = string.Join(",", targetSegmentdic
+                 .Where(x => data.Contains(x.Code))
+                 .Select(x => x.ValueCN));
+            }
+            else
+            {
+                var targetSegmentData = await iSubjectVisitService.GetReadingVisitStudyList(new Contracts.GetReadingVisitStudyListIndto()
+                {
+                    SujectVisitId = taskinfo.SourceSubjectVisitId ?? default(Guid),
+                    TrialId = taskinfo.TrialId,
+                    VisitTaskId = inDto.VisitTaskId
+                });
+                targetSegmentAnswer = string.Join(",", targetSegmentData
+               .Where(x =>x.BodyPartForEdit.IsNotNullOrEmpty())
+               .Select(x => x.BodyPartForEdit));
+            }
+
+
+            var plaqueTypeAnswer = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.PlaqueType).Select(x => x.Answer).FirstOrDefault() ?? string.Empty;
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var data = JsonConvert.DeserializeObject<List<string>>(plaqueTypeAnswer);
+                plaqueTypeAnswer = string.Join(",", plaqueTypedic
+                 .Where(x => data.Contains(x.Code))
+                 .Select(x => x.ValueCN));
+            }
+
+
             var values = new TemplateData()
             {
                 SubjectID = (taskinfo.BlindSubjectCode.IsNullOrEmpty() ? taskinfo.Subject.Code : taskinfo.BlindSubjectCode),
                 TaskBlindName = taskinfo.TaskBlindName,
+                TargetSegment= targetSegmentAnswer,
+                TargetSegmentRemarks = awswerList.Where(x=>x.ReadingQuestionTrial.QuestionType == QuestionType.TargetSegmentRemarks).Select(x=>x.Answer).FirstOrDefault()??string.Empty,
+                ROIAllLength = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ROIAllLength).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                PullbackFrameCount = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.PullbackFrameCount).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                AdjustReason = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.AdjustReason).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                PlaqueType = plaqueTypeAnswer,
+
+
+
             };
             return await _visitTaskHelpeService.ExportTemplateAsync(new IRaCIS.Application.Contracts.ExportTemplateAsyncDto()
             {
@@ -529,7 +588,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             List<IVUSMeasuredValue> measuredValueList = new List<IVUSMeasuredValue>();
             var errorRow = new List<int> { };
 
-            for (int i = 3; i < dataTable.Rows.Count; i++)
+            for (int i = 9; i < dataTable.Rows.Count; i++)
             {
                 IVUSMeasuredValue iVUSMeasuredValue = new IVUSMeasuredValue() { };
                 try
@@ -691,7 +750,100 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 }
             }
 
+            #region 构造外层问题答案
+            List<ReadingTaskQuestionAnswer> questionAnswers = new List<ReadingTaskQuestionAnswer>();
 
+            var readingQuestionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync();
+            var targetSegmentAnswer = dataTable.Rows[2]["B"].ToString();
+          
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var targetSegmentValues = targetSegmentAnswer.Replace("，", ",").Split(",").ToList();
+                var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+                targetSegmentAnswer = JsonConvert.SerializeObject(targetSegmentdic.Where(x => targetSegmentValues.Contains(x.ValueCN)).Select(x => x.Code).ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer= targetSegmentAnswer??string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegment).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId= taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[3]["B"].ToString()??string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[4]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.ROIAllLength).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[5]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PullbackFrameCount).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            var plaqueTypeAnswer = dataTable.Rows[6]["B"].ToString();
+
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var plaqueTypeAnswerValues = plaqueTypeAnswer.Replace("，", ",").Split(",").ToList();
+                var plaqueTypeAnswerdic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+                plaqueTypeAnswer = JsonConvert.SerializeObject(plaqueTypeAnswerdic
+                   .Where(x => plaqueTypeAnswerValues.Any(val => x.ValueCN.Contains(val)))
+                   .Select(x => x.Code)
+                   .ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = plaqueTypeAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PlaqueType).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[7]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.AdjustReason).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            var questionids = questionAnswers.Select(x => x.ReadingQuestionTrialId).ToList();
+            await _readingTaskQuestionAnswerRepository.DeleteFromQueryAsync(x => x.VisitTaskId == taskinfo.Id && questionids.Contains(x.ReadingQuestionTrialId));
+            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(questionAnswers);
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+            #endregion
             await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.SaveChangesAsync();
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
index 862855b7d..e5bdc061b 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/OCTCalculateService.cs
@@ -2,6 +2,7 @@
 using DocumentFormat.OpenXml.Drawing.Spreadsheet;
 using DocumentFormat.OpenXml.Office.SpreadSheetML.Y2023.MsForms;
 using DocumentFormat.OpenXml.Office2010.Excel;
+using IRaCIS.Core.Application.Interfaces;
 using IRaCIS.Core.Application.Service.Reading.Dto;
 using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Domain.Models;
@@ -12,6 +13,7 @@ using MassTransit;
 using Microsoft.AspNetCore.Http;
 using Microsoft.AspNetCore.Mvc;
 using Microsoft.Extensions.Logging;
+using Newtonsoft.Json;
 
 namespace IRaCIS.Core.Application.Service.ReadingCalculate
 {
@@ -24,6 +26,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository,
         IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository,
         IRepository<OrganInfo> _organInfoRepository,
+           ISubjectVisitService iSubjectVisitService,
+        IRepository<Dictionary> _dictionaryRepository,
           IHttpContextAccessor httpContext,
         IRepository<ReadingGlobalTaskInfo> _readingGlobalTaskInfoRepository,
         IRepository<SubjectVisit> _subjectVisitRepository,
@@ -271,10 +275,66 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         public async Task<FileResult> GetOCTFCTTemplate(GetExportTemplateInDto inDto)
         {
             var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Include(x => x.Subject).FirstNotNullAsync();
+
+            //靶段
+            var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+
+            //斑块类型
+            var plaqueTypedic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+
+
+
+
+            var awswerList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId).Include(x => x.ReadingQuestionTrial).ToListAsync();
+
+
+
+            var targetSegmentAnswer = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.TargetSegment).Select(x => x.Answer).FirstOrDefault() ?? string.Empty;
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var data = JsonConvert.DeserializeObject<List<string>>(targetSegmentAnswer);
+                targetSegmentAnswer = string.Join(",", targetSegmentdic
+                 .Where(x => data.Contains(x.Code))
+                 .Select(x => x.ValueCN));
+            }
+            else
+            {
+                var targetSegmentData = await iSubjectVisitService.GetReadingVisitStudyList(new Contracts.GetReadingVisitStudyListIndto()
+                {
+                    SujectVisitId = taskinfo.SourceSubjectVisitId ?? default(Guid),
+                    TrialId = taskinfo.TrialId,
+                    VisitTaskId = inDto.VisitTaskId
+                });
+                targetSegmentAnswer = string.Join(",", targetSegmentData
+               .Where(x => x.BodyPartForEdit.IsNotNullOrEmpty())
+               .Select(x => x.BodyPartForEdit));
+            }
+
+
+            var plaqueTypeAnswer = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.PlaqueType).Select(x => x.Answer).FirstOrDefault() ?? string.Empty;
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var data = JsonConvert.DeserializeObject<List<string>>(plaqueTypeAnswer);
+                plaqueTypeAnswer = string.Join(",", plaqueTypedic
+                 .Where(x => data.Contains(x.Code))
+                 .Select(x => x.ValueCN));
+            }
+
+
             var values = new TemplateData()
             {
                 SubjectID = (taskinfo.BlindSubjectCode.IsNullOrEmpty() ? taskinfo.Subject.Code : taskinfo.BlindSubjectCode),
                 TaskBlindName = taskinfo.TaskBlindName,
+                TargetSegment = targetSegmentAnswer,
+                TargetSegmentRemarks = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                ROIAllLength = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.ROIAllLength).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                //PullbackFrameCount = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.PullbackFrameCount).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+                PlaqueType = plaqueTypeAnswer,
+                AdjustReason = awswerList.Where(x => x.ReadingQuestionTrial.QuestionType == QuestionType.AdjustReason).Select(x => x.Answer).FirstOrDefault() ?? string.Empty,
+           
+
+
+
             };
             return await _visitTaskHelpeService.ExportTemplateAsync(new IRaCIS.Application.Contracts.ExportTemplateAsyncDto()
             {
@@ -356,11 +416,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     return value;
                 }
             }
-            for (int i = 3; i < dataTable.Rows.Count; i++)
+            for (int i = 8; i < dataTable.Rows.Count; i++)
             {
                 try
                 {
 
+
                     // 手动抛出异常进入catch
                     if (!yesOrNo.ContainsKey(dataTable.Rows[i]["K"].ToString())|| !yesOrNo.ContainsKey(dataTable.Rows[i]["L"].ToString()))
                     {
@@ -664,6 +725,91 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 }
 
             }
+
+            #region 构造外层问题答案
+            List<ReadingTaskQuestionAnswer> questionAnswers = new List<ReadingTaskQuestionAnswer>();
+
+            var readingQuestionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId).ToListAsync();
+            var targetSegmentAnswer = dataTable.Rows[2]["B"].ToString();
+
+            if (targetSegmentAnswer.IsNotNullOrEmpty())
+            {
+                var targetSegmentValues = targetSegmentAnswer.Replace("，", ",").Split(",").ToList();
+                var targetSegmentdic = await _dictionaryRepository.Where(x => x.Parent.Code == "TargetSegment").ToListAsync();
+                targetSegmentAnswer = JsonConvert.SerializeObject(targetSegmentdic.Where(x => targetSegmentValues.Contains(x.ValueCN)).Select(x => x.Code).ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = targetSegmentAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegment).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[3]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.TargetSegmentRemarks).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[4]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.ROIAllLength).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+
+            var plaqueTypeAnswer = dataTable.Rows[5]["B"].ToString();
+
+            if (plaqueTypeAnswer.IsNotNullOrEmpty())
+            {
+                var plaqueTypeAnswerValues = plaqueTypeAnswer.Replace("，", ",").Split(",").ToList();
+                var plaqueTypeAnswerdic = await _dictionaryRepository.Where(x => x.Parent.Code == "PlaqueType").ToListAsync();
+                plaqueTypeAnswer = JsonConvert.SerializeObject(plaqueTypeAnswerdic
+                   .Where(x => plaqueTypeAnswerValues.Any(val => x.ValueCN.Contains(val)))
+                   .Select(x => x.Code)
+                   .ToList());
+            }
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = plaqueTypeAnswer ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.PlaqueType).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            questionAnswers.Add(new ReadingTaskQuestionAnswer()
+            {
+                Answer = dataTable.Rows[6]["B"].ToString() ?? string.Empty,
+                ReadingQuestionCriterionTrialId = taskinfo.TrialReadingCriterionId,
+                ReadingQuestionTrialId = readingQuestionList.Where(x => x.QuestionType == QuestionType.AdjustReason).Select(x => x.Id).FirstOrDefault(),
+                TrialId = taskinfo.TrialId,
+                SubjectId = taskinfo.SubjectId,
+                VisitTaskId = taskinfo.Id,
+            });
+
+            var questionids = questionAnswers.Select(x => x.ReadingQuestionTrialId).ToList();
+            await _readingTaskQuestionAnswerRepository.DeleteFromQueryAsync(x => x.VisitTaskId == taskinfo.Id && questionids.Contains(x.ReadingQuestionTrialId));
+            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(questionAnswers);
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+            #endregion
+
             await _readingTableAnswerRowInfoRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.DeleteFromQueryAsync(x => x.QuestionId == questionInfo.Id && x.VisitTaskId == taskinfo.Id);
             await _readingTableQuestionAnswerRepository.SaveChangesAsync();
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 2b7eea0f7..8240f31c5 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -3060,6 +3060,11 @@ namespace IRaCIS.Core.Domain.Share
         /// </summary>
         ROIAllLength = 1015,
 
+        /// <summary>
+        /// 斑块类型 
+        /// </summary>
+        PlaqueType=1018,
+
         /// <summary>
         /// PAV（冠状动脉粥样硬化体积百分比)
         /// </summary>