diff --git a/IRaCIS.Core.API/Controllers/InspectionController.cs b/IRaCIS.Core.API/Controllers/InspectionController.cs
index 37051f6e2..244542980 100644
--- a/IRaCIS.Core.API/Controllers/InspectionController.cs
+++ b/IRaCIS.Core.API/Controllers/InspectionController.cs
@@ -406,7 +406,7 @@ namespace IRaCIS.Core.API.Controllers
         {
             var fun = _qCOperationService.ForwardSVDicomImage;
             opt.AuditInfo.NeedSava = false;
-            return await _inspectionService.Enforcement(opt.OptCommand, opt.AuditInfo, opt.SignInfo, fun);
+            return await _inspectionService.Enforcement(opt.OptCommand.subjectVisitIdList, opt.AuditInfo, opt.SignInfo, fun);
         }
 
         /// <summary>
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 2107c6881..350ff00e7 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -18,6 +18,8 @@ namespace IRaCIS.Core.Application.Image.QA
         }
 
 
+        #region 处理方式多选过滤条件
+
         private Expression<Func<SubjectVisit, bool>> GetSubjectVisitFilter(string[]? VisitPlanArray)
         {
             Expression<Func<SubjectVisit, bool>> svExpression = x => true;
@@ -71,6 +73,9 @@ namespace IRaCIS.Core.Application.Image.QA
             return svExpression;
         }
 
+
+        #endregion
+
         #region CRC上传、质疑页面
         /// <summary>
         /// CRC 访视上传列表
diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index 95a33a0b8..f0baa3705 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -7,6 +7,7 @@ using Microsoft.AspNetCore.Http;
 using IRaCIS.Core.Domain.Share;
 using EasyCaching.Core;
 using IRaCIS.Core.Application.Filter;
+using IRaCIS.Core.Infrastructure;
 
 namespace IRaCIS.Core.Application
 {
@@ -108,7 +109,7 @@ namespace IRaCIS.Core.Application
 
             if (!await _trialRepository.AnyAsync(t => t.Id == signConfirmDTO.TrialId && (t.TrialStatusStr == StaticData.TrialInitializing|| t.TrialStatusStr == StaticData.TrialOngoing)))
             {
-                return ResponseOutput.NotOk("项目不在Initializing/Ongoing，不允许确认配置");
+                throw new BusinessValidationFailedException("项目不在Initializing/Ongoing，不允许确认配置");
             }
 
             if (signConfirmDTO.SignCode == ((int)SignEnum.TrialLogicConfim).ToString())
@@ -126,17 +127,35 @@ namespace IRaCIS.Core.Application
 
             else if (signConfirmDTO.SignCode == ((int)SignEnum.TrialQCQuestionConfirm).ToString())
             {
+
+                var trialConfig = (await _trialRepository
+                    .Select(t => new { TrialId = t.Id, t.QCProcessEnum, t.IsImageConsistencyVerification })
+                    .FirstOrDefaultAsync(t => t.TrialId == signConfirmDTO.TrialId))
+                    .IfNullThrowException();
+
+              
+
+
                 var showOrderList = await _repository.Where<TrialQCQuestion>(t => t.TrialId == signConfirmDTO.TrialId).Select(t => 
                 new { t.ShowOrder , ParentShowOrder=(int?) t.ParentQCQuestion.ShowOrder} ).ToListAsync();
 
+                if (trialConfig.QCProcessEnum ==
+                    TrialQCProcess.DoubleAudit || trialConfig.QCProcessEnum == TrialQCProcess.SingleAudit)
+                {
+                    if (showOrderList.Count == 0)
+                    {
+                        throw new BusinessValidationFailedException("请先添加影像质控审核问题，再确认");
+                    }
+                }
+
                 if (showOrderList.Count() != showOrderList.Select(t=>t.ShowOrder).Distinct().Count())
                 {
-                    return ResponseOutput.NotOk("QC问题显示序号不允许重复");
+                    throw new BusinessValidationFailedException("QC问题显示序号不允许重复");
                 }
 
                 if (showOrderList.Where(t=>t.ParentShowOrder != null).Any(t => t.ParentShowOrder > t.ShowOrder))
                 {
-                    return ResponseOutput.NotOk("父问题的序号要比子问题序号小，请确认");
+                    throw new BusinessValidationFailedException("父问题的序号要比子问题序号小，请确认");
                 }
 
                 await _trialRepository.BatchUpdateAsync(t => t.Id == signConfirmDTO.TrialId, u => new Trial() { QCQuestionConfirmedTime = DateTime.Now, QCQuestionConfirmedUserId = _userInfo.Id, IsQCQuestionConfirmed = true });
diff --git a/IRaCIS.Core.Infra.EFCore/Context/Triggers/AuditAddTrigger.cs b/IRaCIS.Core.Infra.EFCore/Context/Triggers/AuditAddTrigger.cs
index 50e1bb992..cde808f2e 100644
--- a/IRaCIS.Core.Infra.EFCore/Context/Triggers/AuditAddTrigger.cs
+++ b/IRaCIS.Core.Infra.EFCore/Context/Triggers/AuditAddTrigger.cs
@@ -50,13 +50,15 @@ namespace IRaCIS.Core.Application.Triggers
             {
                 context.Entity.CreateUserId = _userInfo.Id;
                 context.Entity.CreateUser = _userInfo.UserName;
+
+                if (context.Entity.CreateTime == default(DateTime))
+                {
+                    context.Entity.CreateTime = DateTime.UtcNow.AddHours(8);
+
+                }
             }
 
-            if (context.Entity.CreateTime == default(DateTime))
-            {
-                context.Entity.CreateTime = DateTime.UtcNow.AddHours(8);
 
-            }
 
             return Task.CompletedTask;