diff --git a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
index 68045cc72..dde63c650 100644
--- a/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCOperationService.cs
@@ -333,6 +333,13 @@ namespace IRaCIS.Core.Application.Image.QA
             if (isAgree)
             {
 
+                if (_subjectVisitRepository.Any(t => t.Id == subjectVisitId && t.QCChallengeList.Any(t => t.IsClosed == false)))
+                {
+                    //有未关闭的质疑，不允许同意影像回退
+                    throw new BusinessValidationFailedException(_localizer["QCOperation_HaveNotClosedQCChanllenge"]);
+                }
+
+
                 if (sv.SubmitState == SubmitStateEnum.Submitted && _subjectVisitRepository.Any(t => t.Id == backRecord.SubjectVisitId && !t.VisitTaskList.Any()))
                 {
                     backRecord.ImageBackState = ImageBackStateEnum.PMAgreeBack;