diff --git a/IRaCIS.Core.API/Progranm.cs b/IRaCIS.Core.API/Progranm.cs
index ae03f93a3..993353891 100644
--- a/IRaCIS.Core.API/Progranm.cs
+++ b/IRaCIS.Core.API/Progranm.cs
@@ -1,6 +1,7 @@
 using IRaCIS.Core.API;
 using IRaCIS.Core.API.HostService;
 using IRaCIS.Core.Application.BusinessFilter;
+using IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api;
 using IRaCIS.Core.Application.Filter;
 using IRaCIS.Core.Application.MassTransit.Consumer;
 using IRaCIS.Core.Application.Service;
@@ -100,6 +101,7 @@ builder.Services.AddControllers(options =>
     options.Filters.Add<UnitOfWorkFilter>();
     options.Filters.Add<LimitUserRequestAuthorization>();
     options.Filters.Add<TrialGlobalLimitActionFilter>();
+    //options.Filters.Add<RequestDuplicationFilter>();
 
 })
     .AddNewtonsoftJsonSetup(builder.Services); // NewtonsoftJson 序列化  处理
diff --git a/IRaCIS.Core.API/_ServiceExtensions/ServiceCollectionSetup.cs b/IRaCIS.Core.API/_ServiceExtensions/ServiceCollectionSetup.cs
index 7541ecf25..075a7fd9e 100644
--- a/IRaCIS.Core.API/_ServiceExtensions/ServiceCollectionSetup.cs
+++ b/IRaCIS.Core.API/_ServiceExtensions/ServiceCollectionSetup.cs
@@ -28,6 +28,7 @@ public static class ServiceCollectionSetup
         services.AddOptions().Configure<AliyunOSSOptions>(_configuration.GetSection("AliyunOSS"));
         services.AddOptions().Configure<ObjectStoreServiceOptions>(_configuration.GetSection("ObjectStoreService"));
         services.AddOptions().Configure<IRCEncreptOption>(_configuration.GetSection("EncrypteResponseConfig"));
+        services.AddOptions().Configure<RequestDuplicationOptions>(_configuration.GetSection("RequestDuplicationOptions"));
         services.AddOptions().Configure<SystemPacsConfig>(_configuration.GetSection("SystemPacsConfig"));
         services.Configure<IRaCISBasicConfigOption>(_configuration.GetSection("IRaCISBasicConfig"));
 
diff --git a/IRaCIS.Core.API/appsettings.Event_IRC.json b/IRaCIS.Core.API/appsettings.Event_IRC.json
index 392b55d49..6ec66b5b2 100644
--- a/IRaCIS.Core.API/appsettings.Event_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Event_IRC.json
@@ -69,7 +69,13 @@
     "CompanyShortName": "Extensive Imaging",
     "CompanyShortNameCN": "展影医疗",
     "IsEnv_US": false
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 
-
 }
diff --git a/IRaCIS.Core.API/appsettings.Prod_IRC.json b/IRaCIS.Core.API/appsettings.Prod_IRC.json
index b0f6caeed..9985c978b 100644
--- a/IRaCIS.Core.API/appsettings.Prod_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Prod_IRC.json
@@ -78,6 +78,12 @@
   "SystemPacsConfig": {
     "Port": "11113",
     "IP": "101.132.193.237"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
-
 }
diff --git a/IRaCIS.Core.API/appsettings.Test_IRC.json b/IRaCIS.Core.API/appsettings.Test_IRC.json
index f266ee6b3..a86722863 100644
--- a/IRaCIS.Core.API/appsettings.Test_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Test_IRC.json
@@ -160,5 +160,16 @@
     "Port": "11113",
     // PACS服务器IP地址
     "IP": "106.14.89.110"
+  },
+  // 重复请求配置
+  "RequestDuplicationOptions": {
+    // 是否启用重复请求检测
+    "IsEnabled": true,
+    // 重复请求时间窗口（毫秒）
+    "DuplicationWindowMs": 500,
+    // 缓存请求时间（秒）
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 }
diff --git a/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json b/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
index 4d17342dc..02bcd1cb8 100644
--- a/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
+++ b/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
@@ -91,5 +91,12 @@
   "SystemPacsConfig": {
     "Port": "11113",
     "IP": "106.14.89.110"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 }
diff --git a/IRaCIS.Core.API/appsettings.US_Prod_IRC.json b/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
index 26935cc91..286366cfc 100644
--- a/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
@@ -85,6 +85,13 @@
   "SystemPacsConfig": {
     "Port": "104",
     "IP": "44.210.231.169"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 
 }
diff --git a/IRaCIS.Core.API/appsettings.US_Test_IRC.json b/IRaCIS.Core.API/appsettings.US_Test_IRC.json
index 043191045..df94467fb 100644
--- a/IRaCIS.Core.API/appsettings.US_Test_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Test_IRC.json
@@ -92,6 +92,13 @@
   "SystemPacsConfig": {
     "Port": "104",
     "IP": "3.226.182.187"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 
 }
diff --git a/IRaCIS.Core.API/appsettings.US_Uat_IRC.json b/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
index e303cc381..29856f89e 100644
--- a/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
@@ -92,6 +92,12 @@
   "SystemPacsConfig": {
     "Port": "104",
     "IP": "3.226.182.187"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
-
 }
diff --git a/IRaCIS.Core.API/appsettings.Uat_IRC.json b/IRaCIS.Core.API/appsettings.Uat_IRC.json
index c617a54d4..05eaba3c2 100644
--- a/IRaCIS.Core.API/appsettings.Uat_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Uat_IRC.json
@@ -99,6 +99,13 @@
   "SystemPacsConfig": {
     "Port": "11113",
     "IP": "101.132.253.119"
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 
 }
diff --git a/IRaCIS.Core.API/appsettings.json b/IRaCIS.Core.API/appsettings.json
index 4568c3524..66c347795 100644
--- a/IRaCIS.Core.API/appsettings.json
+++ b/IRaCIS.Core.API/appsettings.json
@@ -74,5 +74,12 @@
       "redirect_uri": "https://oauthlogin.net/oauth/githubcallback",
       "scope": "repo"
     }
+  },
+  "RequestDuplicationOptions": {
+    "IsEnabled": true,
+    "DuplicationWindowMs": 500,
+    "CacheTimeSeconds": 5,
+    "ExcludedPaths": [
+    ]
   }
 }
\ No newline at end of file
diff --git a/IRaCIS.Core.Application/BusinessFilter/LegacyController/RequestDuplicationFilter.cs b/IRaCIS.Core.Application/BusinessFilter/LegacyController/RequestDuplicationFilter.cs
new file mode 100644
index 000000000..5f30d9315
--- /dev/null
+++ b/IRaCIS.Core.Application/BusinessFilter/LegacyController/RequestDuplicationFilter.cs
@@ -0,0 +1,116 @@
+using System;
+using System.Collections.Generic;
+using System.Linq;
+using System.Text;
+using System.Threading.Tasks;
+
+namespace IRaCIS.Core.Application.BusinessFilter.LegacyController
+{
+    using Database.Api;
+    using DocumentFormat.OpenXml.InkML;
+    using IRaCIS.Core.Application.Service.Common;
+    using IRaCIS.Core.Infrastructure;
+    using IRaCIS.Core.Infrastructure.Extention;
+    using Microsoft.AspNetCore.Components.Endpoints;
+    using Microsoft.AspNetCore.Http;
+    using Microsoft.AspNetCore.Mvc;
+    using Microsoft.AspNetCore.Mvc.Filters;
+    using Microsoft.Extensions.DependencyInjection;
+    using Microsoft.Extensions.Logging;
+    using Microsoft.Extensions.Options;
+    using Minio.Helper;
+    using Newtonsoft.Json;
+    using System;
+    using System.Collections.Generic;
+    using System.Linq;
+    using System.Security.Cryptography;
+    using System.Threading.Tasks;
+
+    namespace Database.Api
+    {
+        /// <summary>
+        /// 请求拦截 请求前后的操作
+        /// </summary>
+        /// <param name="logger">logger</param>
+        /// <param name="accessor">loggerHelper</param>
+        public class RequestDuplicationFilter(ILogger<RequestDuplicationFilter> logger, IHttpContextAccessor accessor, IUserInfo _userInfo, IStringLocalizer _localizer, IOptionsMonitor<RequestDuplicationOptions> RequestDuplicationOptionsMonitor) : ExceptionFilterAttribute, IAsyncActionFilter
+        {
+            /// <summary>
+            /// 传入的参数
+            /// </summary>
+            public string Intoparam { get; set; }
+
+            /// <summary>
+            ///  这个是正常记录(请求刚进入的时候)
+            /// </summary>
+            /// <param name="context">context</param>
+            /// <param name="next">next</param>
+            /// <returns>返回的对象</returns>
+            public async Task OnActionExecutionAsync(ActionExecutingContext context, ActionExecutionDelegate next)
+            {
+                this.Intoparam = JsonConvert.SerializeObject(
+                context.ActionArguments.TryGetValue("inQuery", out var v) ? v : null);
+                try
+                {
+                    this.RequestDuplication();
+                }
+                catch (Exception)
+                {
+                    throw;
+                }
+
+               
+                var resultContext = await next();
+            }
+
+
+
+            /// <summary>
+            /// 
+            /// </summary>
+            private void RequestDuplication()
+            {
+                var requestPath = accessor?.HttpContext?.Request?.Path.ToString() ?? string.Empty;
+
+                // 验证请求频繁情况
+                if (_userInfo.UserRoleId != default(Guid)&& 
+                    RequestDuplicationOptionsMonitor.CurrentValue.IsEnabled && 
+                    !RequestDuplicationOptionsMonitor.CurrentValue.ExcludePaths.Contains(requestPath))
+                {
+                    RequestInfo requestInfo = new RequestInfo
+                    {
+                        UserRoleId = _userInfo.UserRoleId,
+                        RequestPath = requestPath,
+                        ParameterHash = GenerateParameterHash(this.Intoparam),
+                        RequestTime = DateTime.Now
+                    };
+
+                    IRCSystemInfo.RequestRecordList= IRCSystemInfo.RequestRecordList.Where(x => x.RequestTime >= DateTime.Now.AddSeconds(-RequestDuplicationOptionsMonitor.CurrentValue.CacheTimeSeconds)).ToList();
+
+                   
+                    var requestsTimes = IRCSystemInfo.RequestRecordList.Any(x=>
+                   x.RequestTime>= requestInfo.RequestTime.AddMilliseconds(-RequestDuplicationOptionsMonitor.CurrentValue.DuplicationWindowMs)&&
+                    x.RequestKey== requestInfo.RequestKey);
+                    if (requestsTimes)
+                    {
+                        throw new BusinessValidationFailedException(_localizer["RequestDuplicationFilter_RequestDuplication"]);
+                    }
+                    IRCSystemInfo.RequestRecordList.Add(requestInfo);
+                }
+            }
+
+            public  string GenerateParameterHash(string parameters)
+            {
+                if (string.IsNullOrEmpty(parameters))
+                    return string.Empty;
+
+                using var sha256 = SHA256.Create();
+                var hashBytes = sha256.ComputeHash(Encoding.UTF8.GetBytes(parameters));
+                return Convert.ToBase64String(hashBytes);
+            }
+
+
+
+        }
+    }
+}
diff --git a/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs b/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
index b725834a6..f4bd22935 100644
--- a/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
+++ b/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
@@ -105,6 +105,54 @@ public class IRCEncreptOption
     public List<string> ApiPathList { get; set; }
 }
 
+/// <summary>
+/// 请求缓存配置
+/// </summary>
+public class RequestDuplicationOptions
+{
+    /// <summary>
+    /// 缓存时间（秒），默认5秒
+    /// </summary>
+    public int CacheTimeSeconds { get; set; } = 5;
+
+    /// <summary>
+    /// 重复请求检测时间窗口（毫秒），默认500毫秒
+    /// </summary>
+    public int DuplicationWindowMs { get; set; } = 500;
+
+    /// <summary>
+    /// 是否启用防重复请求
+    /// </summary>
+    public bool IsEnabled { get; set; } = true;
+
+    /// <summary>
+    /// 需要排除的路径（不进行重复检测）
+    /// </summary>
+    public List<string> ExcludePaths { get; set; } = new List<string>();
+}
+
+public static class IRCSystemInfo
+{
+    public static List<RequestInfo> RequestRecordList { get; set; } = new List<RequestInfo>();
+}
+
+public class RequestInfo
+{
+    public Guid UserRoleId { get; set; }
+
+    public string RequestPath { get; set; } = string.Empty;
+
+    public string ParameterHash { get; set; } = string.Empty;
+
+    public DateTime RequestTime { get; set; }
+
+
+    /// <summary>
+    /// 请求的唯一标识
+    /// </summary>
+    public string RequestKey => $"{UserRoleId}_{RequestPath}_{ParameterHash}";
+}
+
 public class IRaCISBasicConfigOption
 {
     public string DoctorCodePrefix { get; set; }
diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 5bc700ff6..cc3c6c45b 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -957,6 +957,16 @@
             <param name="_dictionaryService"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.Common.ExcelExportService.GetAnalysisTaskList_Export(IRaCIS.Core.Application.ViewModel.VisitTaskQuery,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.CommonDocument},IRaCIS.Application.Interfaces.IDictionaryService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Trial})">
+            <summary>
+            一致性分析结果导出   7 8  分别是自身 和组件一致性
+            </summary>
+            <param name="inQuery"></param>
+            <param name="_commonDocumentRepository"></param>
+            <param name="_dictionaryService"></param>
+            <param name="_trialRepository"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.Common.ExcelExportService.GetTrialReadingCriterionCanExportDocumentList(System.Guid)">
             <summary>
             获取阅片标准可以导出的列表
@@ -3223,6 +3233,20 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoWithoutPETCalculateService.CalculateTargetLesionStatus(IRaCIS.Core.Application.ViewModel.CalculateTargetLesionStatusInDto)">
+            <summary>
+            计算靶病灶状态
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoWithoutPETCalculateService.CalculateMergeTargetLesionStatus(IRaCIS.Core.Application.ViewModel.CalculateTargetLesionStatusInDto)">
+            <summary>
+            计算靶病灶融合后状态
+            </summary>
+            <param name="inDto"></param>
+            <returns></returns>
+        </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingCalculate.IRECIST1Point1CalculateService.ReadingImport">
             <summary>
             阅片导入
@@ -13047,7 +13071,7 @@
         </member>
         <member name="M:IRaCIS.Core.Application.Service.ReadingQuestionService.AddOrUpdateReadingTableQuestionTrial(IRaCIS.Core.Application.Service.Reading.Dto.ReadingTableQuestionTrialAddOrEdit)">
             <summary>
-            新增修改想想项目表格问题
+            新增修改项目表格问题
             </summary>
             <param name="indto"></param>
             <returns></returns>
@@ -13148,7 +13172,7 @@
             <param name="inDto"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Core.Application.Service.ReadingImageTaskService.#ctor(IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudy},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.VisitTask},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Trial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TaskInstance},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudyFile},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingNoneDicomMark},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.UserLog},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionAnswer},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingOncologyTaskInfo},IRaCIS.Core.Application.Service.IVisitTaskHelpeService,IRaCIS.Core.Application.Service.IVisitTaskService,IRaCIS.Core.Application.Contracts.IReadingClinicalDataService,IRaCIS.Core.Application.Service.IReadingCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.SubjectVisit},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Subject},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.UserFeedBack},Microsoft.Extensions.Options.IOptionsMonitor{IRaCIS.Core.Domain.Share.ServiceVerifyConfigOption},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingGlobalTaskInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingCriterionPage},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskRelation},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingJudgeInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadModule},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomInstance},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.OrganInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.OrganTrialInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TrialDocument},IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskQuestionMark},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTrialCriterionDictionary},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableAnswerRowInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionSystem},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskQuestionAnswer},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionCriterionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionSystem},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudyFile},IRaCIS.Core.Application.Service.IGeneralCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TaskStudy},IRaCIS.Core.Application.Service.ImageAndDoc.IDownloadAndUploadService,IRaCIS.Core.Application.Interfaces.ITrialEmailNoticeConfigService,AutoMapper.IMapper,IRaCIS.Core.Domain.Share.IUserInfo,Microsoft.Extensions.Localization.IStringLocalizer,ZiggyCreatures.Caching.Fusion.IFusionCache)">
+        <member name="M:IRaCIS.Core.Application.Service.ReadingImageTaskService.#ctor(IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudy},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.VisitTask},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Trial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TaskInstance},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudyFile},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingNoneDicomMark},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.UserLog},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionAnswer},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingOncologyTaskInfo},IRaCIS.Core.Application.Service.IVisitTaskHelpeService,IRaCIS.Core.Application.Service.IVisitTaskService,IRaCIS.Core.Application.Contracts.IReadingClinicalDataService,IRaCIS.Core.Application.Service.IReadingCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.SubjectVisit},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.Subject},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.UserFeedBack},Microsoft.Extensions.Options.IOptionsMonitor{IRaCIS.Core.Domain.Share.ServiceVerifyConfigOption},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingGlobalTaskInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingCriterionPage},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskRelation},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingJudgeInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadModule},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomInstance},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.OrganInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.OrganTrialInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TrialDocument},IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoCalculateService,IRaCIS.Core.Application.Service.ReadingCalculate.Interface.ILuganoWithoutPETCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskQuestionMark},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTrialCriterionDictionary},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableAnswerRowInfo},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionSystem},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTableQuestionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingTaskQuestionAnswer},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionCriterionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionSystem},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.NoneDicomStudyFile},IRaCIS.Core.Application.Service.IGeneralCalculateService,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.ReadingQuestionTrial},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.TaskStudy},IRaCIS.Core.Application.Service.ImageAndDoc.IDownloadAndUploadService,IRaCIS.Core.Application.Interfaces.ITrialEmailNoticeConfigService,AutoMapper.IMapper,IRaCIS.Core.Domain.Share.IUserInfo,Microsoft.Extensions.Localization.IStringLocalizer,ZiggyCreatures.Caching.Fusion.IFusionCache)">
             <summary>
             IR影像阅片
             </summary>
@@ -14388,6 +14412,38 @@
             测试加密API 返回的结果
             </summary>
         </member>
+        <member name="T:IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter">
+            <summary>
+            请求拦截 请求前后的操作
+            </summary>
+            <param name="logger">logger</param>
+            <param name="accessor">loggerHelper</param>
+        </member>
+        <member name="M:IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter.#ctor(Microsoft.Extensions.Logging.ILogger{IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter},Microsoft.AspNetCore.Http.IHttpContextAccessor,IRaCIS.Core.Domain.Share.IUserInfo,Microsoft.Extensions.Localization.IStringLocalizer,Microsoft.Extensions.Options.IOptionsMonitor{IRaCIS.Core.Domain.Share.RequestDuplicationOptions})">
+            <summary>
+            请求拦截 请求前后的操作
+            </summary>
+            <param name="logger">logger</param>
+            <param name="accessor">loggerHelper</param>
+        </member>
+        <member name="P:IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter.Intoparam">
+            <summary>
+            传入的参数
+            </summary>
+        </member>
+        <member name="M:IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter.OnActionExecutionAsync(Microsoft.AspNetCore.Mvc.Filters.ActionExecutingContext,Microsoft.AspNetCore.Mvc.Filters.ActionExecutionDelegate)">
+            <summary>
+             这个是正常记录(请求刚进入的时候)
+            </summary>
+            <param name="context">context</param>
+            <param name="next">next</param>
+            <returns>返回的对象</returns>
+        </member>
+        <member name="M:IRaCIS.Core.Application.BusinessFilter.LegacyController.Database.Api.RequestDuplicationFilter.RequestDuplication">
+            <summary>
+            
+            </summary>
+        </member>
         <member name="T:IRaCIS.Core.Application.BusinessFilter.GlobalExceptionHandler">
             <summary>
             minimal api 生效，但是传统控制器，没生效
@@ -18849,6 +18905,36 @@
             <returns></returns>
             <exception cref="T:IRaCIS.Core.Infrastructure.BusinessValidationFailedException"></exception>
         </member>
+        <member name="T:IRaCIS.Core.Domain.Share.RequestDuplicationOptions">
+            <summary>
+            请求缓存配置
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Domain.Share.RequestDuplicationOptions.CacheTimeSeconds">
+            <summary>
+            缓存时间（秒），默认5秒
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Domain.Share.RequestDuplicationOptions.DuplicationWindowMs">
+            <summary>
+            重复请求检测时间窗口（毫秒），默认500毫秒
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Domain.Share.RequestDuplicationOptions.IsEnabled">
+            <summary>
+            是否启用防重复请求
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Domain.Share.RequestDuplicationOptions.ExcludePaths">
+            <summary>
+            需要排除的路径（不进行重复检测）
+            </summary>
+        </member>
+        <member name="P:IRaCIS.Core.Domain.Share.RequestInfo.RequestKey">
+            <summary>
+            请求的唯一标识
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Domain.Models.ReadModuleView.Id">
             <summary>
             Id(阅片期Id 或者 访视ID)
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
index 69ffea91d..e416e4a53 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingQuestionService.cs
@@ -847,7 +847,7 @@ namespace IRaCIS.Core.Application.Service
 
 
         /// <summary>
-        /// 新增修改想想项目表格问题
+        /// 新增修改项目表格问题
         /// </summary>
         /// <param name="indto"></param>
         /// <returns></returns>
@@ -861,6 +861,13 @@ namespace IRaCIS.Core.Application.Service
                 //---问题编号重复
                 throw new BusinessValidationFailedException(_localizer["ReadingQuestion_IdDup"]);
             }
+            if (indto.IsPreinstall)
+            {
+                if (await _readingTableQuestionTrialRepository.AnyAsync(x => x.ReadingQuestionId == indto.ReadingQuestionId && x.Id != indto.Id && x.IsPreinstall))
+                {
+                    throw new BusinessValidationFailedException(_localizer["ReadingQuestion_OnlyOnePreinstall"]);
+                }
+            }
 
             indto.ParentTriggerValue = string.Join(',', indto.ParentTriggerValueList);
             indto.RelevanceValue = string.Join(',', indto.RelevanceValueList);
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index c8843e03c..62638a459 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -59,6 +59,7 @@ namespace IRaCIS.Core.Application.Service
           IRepository<OrganTrialInfo> _organTrialInfoRepository,
         IRepository<TrialDocument> _trialDocumentRepository,
         ILuganoCalculateService _luganoCalculateService,
+         ILuganoWithoutPETCalculateService _LuganoWithoutPETCalculateService,
         //IRepository<ReadingCustomTag> _readingCustomTagRepository,
         IRepository<ReadingTaskQuestionMark> _readingTaskQuestionMarkRepository,
         IRepository<ReadingTrialCriterionDictionary> _readingTrialCriterionDictionaryRepository,
@@ -1794,7 +1795,7 @@ namespace IRaCIS.Core.Application.Service
             switch (taskInfo.TrialReadingCriterion.CriterionType)
             {
                 case CriterionType.Lugano2014:
-
+                case CriterionType.Lugano2014WithoutPET:
                     List<QuestionMark?> needSetNa = new List<QuestionMark?>()
                     {
                         QuestionMark.LowPPDAddPercent,
@@ -1916,6 +1917,7 @@ namespace IRaCIS.Core.Application.Service
             switch (taskinfo.TrialReadingCriterion.CriterionType)
             {
                 case CriterionType.Lugano2014:
+             
                     await _luganoCalculateService.CalculateMergeTargetLesionStatus(new CalculateTargetLesionStatusInDto()
                     {
                         QuestionId = inDto.QuestionId,
@@ -1923,6 +1925,14 @@ namespace IRaCIS.Core.Application.Service
                         RowNumber = mergeRow.RowIndex,
                     });
                     break;
+                case CriterionType.Lugano2014WithoutPET:
+                    await _LuganoWithoutPETCalculateService.CalculateMergeTargetLesionStatus(new CalculateTargetLesionStatusInDto()
+                    {
+                        QuestionId = inDto.QuestionId,
+                        VisitTaskId = inDto.VisitTaskId,
+                        RowNumber = mergeRow.RowIndex,
+                    });
+                    break;
             }
         }
 
@@ -1949,6 +1959,7 @@ namespace IRaCIS.Core.Application.Service
             {
 
                 case CriterionType.Lugano2014:
+                case CriterionType.Lugano2014WithoutPET:
                     // (无法评估 或者 状态为消失的非靶病灶） 并且不能是无法评估的病灶
                     query = query.Where(x =>
                     (x.MeasureData == string.Empty ||
@@ -2252,9 +2263,9 @@ namespace IRaCIS.Core.Application.Service
                         break;
              
                     case CriterionType.Lugano2014:
-
+                    case CriterionType.Lugano2014WithoutPET:
                         // 先找到需要删除的
-  
+
                         foreach (var item in needDeleteMarkQuestionIds)
                         {
                             // 对于要删除的标记不能删除 要与问题解绑
@@ -2586,6 +2597,7 @@ namespace IRaCIS.Core.Application.Service
             switch (taskinfo.TrialReadingCriterion.CriterionType)
             {
                 case CriterionType.Lugano2014:
+
                     if (deleteRowInfo.RowIndex % 1 != 0)
                     {
                         await _luganoCalculateService.CalculateTargetLesionStatus(new CalculateTargetLesionStatusInDto()
@@ -2596,6 +2608,18 @@ namespace IRaCIS.Core.Application.Service
                         });
                     }
                     break;
+                case CriterionType.Lugano2014WithoutPET:
+
+                    if (deleteRowInfo.RowIndex % 1 != 0)
+                    {
+                        await _LuganoWithoutPETCalculateService.CalculateTargetLesionStatus(new CalculateTargetLesionStatusInDto()
+                        {
+                            QuestionId = inDto.QuestionId,
+                            VisitTaskId = inDto.VisitTaskId,
+                            RowNumber = deleteRowInfo.RowIndex
+                        });
+                    }
+                    break;
             }
             return ResponseOutput.Ok(true);
         }
@@ -2761,6 +2785,7 @@ namespace IRaCIS.Core.Application.Service
                     }
                     break;
                 case CriterionType.Lugano2014:
+                case CriterionType.Lugano2014WithoutPET:
 
                     var targetTablequestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == taskinfo.TrialReadingCriterionId && x.ReadingQuestionTrial.LesionType == LesionType.TargetLesion).ToListAsync();
 
@@ -3059,6 +3084,17 @@ namespace IRaCIS.Core.Application.Service
                         });
                     }
                     break;
+                case CriterionType.Lugano2014WithoutPET:
+                    if (inDto.RowIndex % 1 != 0)
+                    {
+                        await _LuganoWithoutPETCalculateService.CalculateTargetLesionStatus(new CalculateTargetLesionStatusInDto()
+                        {
+                            QuestionId = inDto.QuestionId,
+                            VisitTaskId = inDto.VisitTaskId,
+                            RowNumber = inDto.RowIndex
+                        });
+                    }
+                    break;
             }
 
             return result;
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
index 61406ff9a..93089a6f5 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
@@ -36,6 +36,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {CriterionType.RECIST1Pointt1_MB,typeof(RECIST1Point1_BMCalculateService) },
             {CriterionType.IRECIST1Point1,typeof(IRECIST1Point1CalculateService) },
             {CriterionType.Lugano2014,typeof(LuganoCalculateService) },
+             {CriterionType.Lugano2014WithoutPET,typeof(LuganoWithoutPETCalculateService) },
             {CriterionType.IVUS,typeof(IVUSCalculateService) },
             {CriterionType.OCT,typeof(OCTCalculateService) },
             {CriterionType.MRIPDFF,typeof(MRIPDFFCalculateService) },
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoWithoutPETCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoWithoutPETCalculateService.cs
new file mode 100644
index 000000000..7587ba034
--- /dev/null
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/Interface/ILuganoWithoutPETCalculateService.cs
@@ -0,0 +1,21 @@
+using IRaCIS.Core.Application.ViewModel;
+
+namespace IRaCIS.Core.Application.Service.ReadingCalculate.Interface
+{
+    public interface ILuganoWithoutPETCalculateService
+    {
+        /// <summary>
+        /// 计算靶病灶状态
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        Task CalculateTargetLesionStatus(CalculateTargetLesionStatusInDto inDto);
+
+        /// <summary>
+        /// 计算靶病灶融合后状态
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        Task CalculateMergeTargetLesionStatus(CalculateTargetLesionStatusInDto inDto);
+    }
+}
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
index 100debf1a..2aa16011c 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
@@ -26,9 +26,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         IRepository<TumorAssessment_RECIST1Point1> _tumorAssessmentRepository,
         ISubjectVisitService _subjectVisitService,
         IGeneralCalculateService _generalCalculateService,
-        IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService, ILuganoCalculateService
+        IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService, ILuganoWithoutPETCalculateService
     {
-
         /// <summary>
         /// 阅片导入
         /// </summary>
@@ -352,7 +351,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     }
 
 
-                };
+                }
+                ;
             }
             #endregion