diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 62dcf536c..fb3f4d549 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -17316,17 +17316,17 @@
         </member>
         <member name="F:IRaCIS.Core.Application.ViewModel.AccessToDialogueEnum.Question">
             <summary>
-            质疑
+            ����
             </summary>
         </member>
         <member name="F:IRaCIS.Core.Application.ViewModel.AccessToDialogueEnum.Consistency">
             <summary>
-            一致性核查
+            һ���Ժ˲�
             </summary>
         </member>
         <member name="T:IRaCIS.Core.Application.ViewModel.CopyFrontAuditConfigItemDto">
             <summary>
-            复制
+            ����
             </summary>
         </member>
         <member name="T:IRaCIS.Core.Application.ViewModel.SystemNoticeView">
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
index 4f536da8e..46931c9cb 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
@@ -55,6 +55,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {CriterionType.IVUS,typeof(IVUSCalculateService) },
             {CriterionType.OCT,typeof(OCTCalculateService) },
             {CriterionType.MRIPDFF,typeof(MRIPDFFCalculateService) },
+            {CriterionType.MRIPDFFAdvance,typeof(MRIPDFFAdvanceCalculateService) },
             {CriterionType.mRECISTHCC,typeof(MRECISTHCCCalculateService) },
         };
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/MRIPDFFAdvanceCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/MRIPDFFAdvanceCalculateService.cs
new file mode 100644
index 000000000..2ab179580
--- /dev/null
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/MRIPDFFAdvanceCalculateService.cs
@@ -0,0 +1,561 @@
+using DocumentFormat.OpenXml.EMMA;
+using IRaCIS.Core.Application.Service.Reading.Dto;
+using IRaCIS.Core.Application.ViewModel;
+using IRaCIS.Core.Domain.Models;
+using IRaCIS.Core.Domain.Share;
+using IRaCIS.Core.Infra.EFCore.Common;
+using IRaCIS.Core.Infrastructure;
+using MassTransit;
+using Microsoft.AspNetCore.Mvc;
+using System.Linq;
+
+namespace IRaCIS.Core.Application.Service.ReadingCalculate
+{
+    [ApiExplorerSettings(GroupName = "Reading")]
+    public class MRIPDFFAdvanceCalculateService(IRepository<ReadingTableQuestionAnswer> _readingTableQuestionAnswerRepository,
+        IRepository<VisitTask> _visitTaskRepository,
+        IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository,
+        IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository,
+        IRepository<ReadingTableAnswerRowInfo> _readingTableAnswerRowInfoRepository,
+        IRepository<ReadingGlobalTaskInfo> _readingGlobalTaskInfoRepository,
+        IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository,
+        IRepository<SubjectVisit> _subjectVisitRepository,
+        IRepository<OrganInfo> _organInfoRepository,
+          IRepository<Dictionary> _dictionaryRepository,
+             IRepository<ReadingTaskQuestionMark> _readingTaskQuestionMarkRepository,
+        IRepository<DicomStudy> _dicomStudyRepository,
+        IRepository<NoneDicomStudy> _noneDicomStudyRepository,
+        IRepository<TumorAssessment_RECIST1Point1> _tumorAssessmentRepository,
+        IGeneralCalculateService _generalCalculateService,
+        IRepository<ReadingTaskQuestionAnswer> _readingTaskQuestionAnswerRepository, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, ICriterionCalculateService
+    {
+
+
+        private List<SiteVisitForTumor> siteVisitForTumorList = new List<SiteVisitForTumor>();
+
+        /// <summary>
+        /// 阅片导入
+        /// </summary>
+        /// <returns></returns>
+        public async Task ReadingImport()
+        {
+        }
+
+
+        /// <summary>
+        /// 获取阅片的计算数据
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        public async Task<object> GetReadingCalculationData(GetReadingCalculationDataInDto inDto)
+        {
+            return new
+            {
+            };
+        }
+
+        #region 删除病灶获取起始病灶序号
+        /// <summary>
+        /// 删除病灶获取起始病灶序号
+        /// </summary>
+        /// <returns></returns>
+        public async Task<int> GetDeleteLesionStatrIndex(DeleteReadingRowAnswerInDto inDto)
+        {
+            return 1;
+
+
+        }
+        #endregion
+
+        #region 获取阅片报告
+        /// <summary>
+        /// 获取阅片报告
+        /// </summary>
+        /// <param name="indto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<GetReadingReportEvaluationOutDto> GetReadingReportEvaluation(GetReadingReportEvaluationInDto indto)
+        {
+            GetReadingReportEvaluationOutDto result = new GetReadingReportEvaluationOutDto();
+
+            result.CalculateResult = await this.GetReportVerify(new GetReportVerifyInDto()
+            {
+                VisitTaskId = indto.VisitTaskId
+            });
+
+            var visitTaskInfo = await _visitTaskRepository.Where(x => x.Id == indto.VisitTaskId).FirstNotNullAsync();
+
+
+            result.ReadingTaskState = visitTaskInfo.ReadingTaskState;
+            var taskInfoList = await _generalCalculateService.GetReadingReportTaskList(indto.VisitTaskId);
+
+            result.VisitTaskList = taskInfoList;
+
+            var visitTaskIds = taskInfoList.Select(x => x.VisitTaskId).ToList();
+
+            var criterionId = visitTaskInfo.TrialReadingCriterionId;
+            var questionList = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == criterionId && x.ShowQuestion != ShowQuestion.Hide).ToListAsync();
+            var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.TrialCriterionId == criterionId).OrderBy(x => x.ShowOrder).ToListAsync();
+
+            var lesionsIndexs = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).GroupBy(x => new { x.QuestionId }).Select(x => new lesionsIndexDto()
+            {
+                QuestionId = x.Key.QuestionId,
+                Rowindexs = x.Select(x => x.RowIndex).Distinct().OrderBy(x => x).ToList()
+
+            }).ToListAsync();
+
+            var tableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => x.VisitTaskId == indto.VisitTaskId).ProjectTo<TableAnsweRowInfo>(_mapper.ConfigurationProvider).ToListAsync();
+
+            var answers = await _readingTaskQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync();
+            var tableAnswers = await _readingTableQuestionAnswerRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync();
+            var globalanswerList = await _readingGlobalTaskInfoRepository.Where(x => visitTaskIds.Contains(x.TaskId) && x.GlobalVisitTask.TaskState == TaskState.Effect && x.Answer != string.Empty).Select(x => new Globalanswer()
+            {
+                TaskId = x.TaskId,
+                VisitTaskNum = x.GlobalVisitTask.VisitTaskNum,
+                QuestionId = x.QuestionId,
+                Answer = x.Answer
+            }).ToListAsync();
+            var alltableAnsweRowInfos = await _readingTableAnswerRowInfoRepository.Where(x => visitTaskIds.Contains(x.VisitTaskId)).ToListAsync();
+            var organIds = alltableAnsweRowInfos.Where(x => x.OrganInfoId != null).Select(x => x.OrganInfoId).Distinct().ToList();
+            var organInfos = await _organInfoRepository.Where(x => organIds.Contains(x.Id)).ToListAsync();
+
+            var needChangeType = new List<QuestionMark?>() {
+                QuestionMark.Organ,
+                QuestionMark.Location,
+                QuestionMark.Part,
+            };
+
+            // 第一级
+
+            List<ReadingReportDto> questions = await _generalCalculateService.GetReadingReportQuestion
+        (
+         questionList,
+         taskInfoList,
+        globalanswerList,
+         answers,
+         tableAnsweRowInfos,
+          tableQuestionList,
+          alltableAnsweRowInfos,
+          tableAnswers,
+         organInfos,
+          needChangeType
+        );
+
+
+
+            result.TaskQuestions = questions;
+
+
+
+            return result;
+
+
+        }
+        #endregion
+
+        /// <summary>
+        /// 将上一次的访视病灶添加到这一次
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        public async Task<AddTaskLesionAnswerFromLastTaskOutDto> AddTaskLesionAnswerFromLastTask(AddTaskLesionAnswerFromLastTaskInDto inDto)
+        {
+            var visitTaskId = inDto.VisitTaskId;
+            var taskinfo = await _visitTaskRepository.Where(x => x.Id == visitTaskId).FirstNotNullAsync();
+            var isReadingTaskViewInOrder = await _readingQuestionCriterionTrialRepository.Where(x => x.Id == taskinfo.TrialReadingCriterionId).Select(x => x.IsReadingTaskViewInOrder).FirstOrDefaultAsync();
+            var baseLineVisitId = await _subjectVisitRepository.Where(x => x.SubjectId == taskinfo.SubjectId && x.IsBaseLine).Select(x => x.Id).FirstOrDefaultAsync();
+
+            if (!(await _readingTableQuestionAnswerRepository.AnyAsync(x => x.VisitTaskId == visitTaskId)))
+            {
+            
+
+
+                var dictionList = await _dictionaryRepository.Where(x => x.Parent.Code == "LiverSegmentation").OrderBy(x => x.ShowOrder).ToListAsync();
+
+
+                var tableQuestion = await _readingQuestionTrialRepository.Where(x => x.ReadingQuestionCriterionTrialId == taskinfo.TrialReadingCriterionId && x.LesionType == LesionType.FatFraction).FirstNotNullAsync();
+
+                var tableQuestionList = await _readingTableQuestionTrialRepository.Where(x => x.ReadingQuestionId == tableQuestion.Id).ToListAsync();
+                var LastVisitTaskId = await _visitTaskRepository.Where(x => x.ReadingCategory == ReadingCategory.Visit &&
+                      x.TrialReadingCriterionId == taskinfo.TrialReadingCriterionId &&
+                      x.IsAnalysisCreate == taskinfo.IsAnalysisCreate &&
+                       x.DoctorUserId == taskinfo.DoctorUserId &&
+                       x.IsSelfAnalysis == taskinfo.IsSelfAnalysis &&
+                      x.SubjectId == taskinfo.SubjectId && x.ReadingTaskState == ReadingTaskState.HaveSigned && x.VisitTaskNum < taskinfo.VisitTaskNum && x.TaskState == TaskState.Effect && x.ArmEnum == taskinfo.ArmEnum
+                      ).OrderByDescending(x => x.VisitTaskNum).Select(x => x.Id).FirstOrDefaultAsync();
+
+
+                List<TableMarkInfo> marks = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == LastVisitTaskId && x.RowId != null).ProjectTo<TableMarkInfo>(_mapper.ConfigurationProvider).ToListAsync();
+
+
+                marks.ForEach(x => {
+
+                    x.VisitTaskId = visitTaskId;
+                });
+
+                List<ReadingTableAnswerRowInfo> rowlist = new List<ReadingTableAnswerRowInfo>();
+                List<ReadingTableQuestionAnswer> tableAnswerList = new List<ReadingTableQuestionAnswer>();
+
+                decimal num = 1;
+                foreach (var item in dictionList)
+                {
+                    var guid = NewId.NextGuid();
+                    marks.ForEach(x => {
+                        x.RowId = x.RowIndex == num ? guid : x.RowId;
+                    });
+                    rowlist.Add(new ReadingTableAnswerRowInfo()
+                    {
+                        FristAddTaskId = visitTaskId,
+                        IsCurrentTaskAdd = true,
+                        BlindName = taskinfo.TaskBlindName,
+                        OrderMark = tableQuestion.OrderMark,
+                        VisitTaskId = visitTaskId,
+                        TrialId = taskinfo.TrialId,
+                        QuestionId = tableQuestion.Id,
+                        RowIndex = num,
+                        Id = guid,
+                    });
+
+                    tableAnswerList.Add(new ReadingTableQuestionAnswer()
+                    {
+                        QuestionId = tableQuestion.Id,
+                        Answer = item.Code,
+                        TableQuestionId = tableQuestionList.Where(x => x.QuestionMark == QuestionMark.liverSegmentation).Select(x => x.Id).FirstOrDefault(),
+                        VisitTaskId = visitTaskId,
+                        TrialId = taskinfo.TrialId,
+                        RowIndex = num,
+                        RowId = guid,
+                    });
+
+                    foreach (var otherQuestion in tableQuestionList.Where(x => !tableAnswerList.Any(y => y.RowId == guid && y.TableQuestionId == x.Id)))
+                    {
+                        tableAnswerList.Add(new ReadingTableQuestionAnswer()
+                        {
+                            Answer = otherQuestion.DefaultValue,
+                            QuestionId = tableQuestion.Id,
+                            TrialId = taskinfo.TrialId,
+                            VisitTaskId = taskinfo.Id,
+                            RowId = guid,
+                            RowIndex = num,
+                            TableQuestionId = otherQuestion.Id,
+                        });
+                    }
+
+
+                    num++;
+                }
+                await _readingTableAnswerRowInfoRepository.AddRangeAsync(rowlist);
+                await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswerList);
+
+                await _readingTaskQuestionMarkRepository.AddRangeAsync(_mapper.Map<List<ReadingTaskQuestionMark>>(marks));
+                await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+            }
+               
+
+            return new AddTaskLesionAnswerFromLastTaskOutDto()
+            {
+                IsBaseLine = taskinfo.SourceSubjectVisitId == baseLineVisitId,
+            };
+
+        }
+
+        /// <summary>
+        /// 测试计算
+        /// </summary>
+        /// <param name="visitTaskId"></param>
+        /// <param name="type"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task TestCalculate(Guid visitTaskId, QuestionType type)
+        {
+            ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(visitTaskId);
+            await ReadingCalculate(readingData, new List<QuestionType>() { type });
+        }
+
+        /// <summary>
+        /// 计算任务
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task CalculateTask(CalculateTaskInDto inDto)
+        {
+            ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId);
+            readingData.IsChangeOtherTask = inDto.IsChangeOtherTask;
+            await ReadingCalculate(readingData);
+        }
+
+
+
+
+        /// <summary>
+        /// 自动计算
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <param name="calculateType"></param>
+        /// <returns></returns>
+        public async Task ReadingCalculate(ReadingCalculateDto inDto, List<QuestionType>? calculateType = null)
+        {
+
+            await this.CalculateAvg(inDto);
+            inDto = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId);
+            var needAddList = new List<ReadingTaskQuestionAnswer>();
+            List<ReadingCalculateData> calculateList = new List<ReadingCalculateData>()
+            {
+				// 脂肪平均
+				new ReadingCalculateData (){QuestionType=QuestionType.TotalMeanFraction,GetStringFun=GetFatFractionAvg},
+
+                // 脂肪分级
+				new ReadingCalculateData (){QuestionType=QuestionType.FattyLiverGrading,GetStringFun=GetFattyLiverGrading},
+            };
+
+
+            if (calculateType != null)
+            {
+                calculateList = calculateList.Where(x => calculateType.Contains(x.QuestionType)).ToList();
+            }
+
+
+
+            foreach (var calculate in calculateList)
+            {
+                var item = inDto.QuestionInfo.FirstOrDefault(x => x.QuestionType == calculate.QuestionType);
+
+                if (item != null)
+                {
+                    //计算答案  
+
+
+                    #region 计算答案
+                    if (calculate.GetDecimalFun != null)
+                    {
+                        item.Answer = (await calculate.GetDecimalFun(inDto)).ToString();
+
+                    }
+                    else if (calculate.GetDecimalNullFun != null)
+                    {
+                        var value = await calculate.GetDecimalNullFun(inDto);
+                        item.Answer = value == null ? "NA" : value.Value.ToString();
+                    }
+                    else if (calculate.GetStringFun != null)
+                    {
+                        item.Answer = await calculate.GetStringFun(inDto);
+                    }
+                    #endregion
+                    // 修改修约小数位数
+
+                    List<ValueOfType?> valueOfTypes = new List<ValueOfType?>() {
+
+                               ValueOfType.Decimals,
+                               ValueOfType.Percentage
+                            };
+
+                    if (inDto.DigitPlaces != -1 && calculate.GetDecimalFun != null && calculate.GetDecimalNullFun != null)
+                    {
+                        try
+                        {
+
+                            if (valueOfTypes.Contains(item.ValueType))
+                            {
+                                item.Answer = decimal.Round(decimal.Parse(item.Answer ?? "0"), inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString());
+                            }
+                        }
+                        catch (Exception)
+                        {
+
+                        }
+                    }
+
+                    needAddList.Add(new ReadingTaskQuestionAnswer()
+                    {
+                        Answer = item.Answer,
+                        ReadingQuestionTrialId = item.QuestionId,
+                    });
+                }
+            }
+
+
+
+            var questionIds = needAddList.Select(x => x.ReadingQuestionTrialId).ToList();
+
+            await _readingTaskQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => questionIds.Contains(x.ReadingQuestionTrialId) && x.VisitTaskId == inDto.VisitTaskId);
+            needAddList.ForEach(x =>
+            {
+                x.SubjectId = inDto.SubjectId;
+                x.ReadingQuestionCriterionTrialId = inDto.CriterionId;
+                x.VisitTaskId = inDto.VisitTaskId;
+                x.TrialId = inDto.TrialId;
+                x.SubjectId = inDto.SubjectId;
+            });
+
+            await _readingTaskQuestionAnswerRepository.AddRangeAsync(needAddList);
+
+            await _readingTaskQuestionAnswerRepository.SaveChangesAsync();
+
+        }
+
+        /// <summary>
+        /// 获取脂肪分数平均值
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        public async Task<string> GetFatFractionAvg(ReadingCalculateDto inDto)
+        {
+            decimal result = 0;
+
+            var rowInfo = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction)
+                .SelectMany(x => x.TableRowInfoList).ToList();
+
+            var tableQuestionList = rowInfo.Where(x=>x.TableQuestionList.Any(x=>x.QuestionMark== QuestionMark.IsMeasurable && x.Answer.EqEnum(YesOrNoOrNa.Yes))).SelectMany(x => x.TableQuestionList).ToList();
+
+            if (rowInfo.Any(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.AverageValue && x.Answer.IsNullOrEmpty())))
+            {
+                return string.Empty;
+            }
+            if (tableQuestionList.Count() == 0)
+            {
+                return "NE";
+            }
+            result = tableQuestionList.Where(x => x.QuestionMark == QuestionMark.AverageValue).Average(x => x.Answer.IsNullOrEmptyReturn0());
+            return decimal.Round(result, inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString()); ;
+
+        }
+
+        /// <summary>
+        /// 获取脂肪肝分级
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        public async Task<string> GetFattyLiverGrading(ReadingCalculateDto inDto)
+        {
+            var answer = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TotalMeanFraction).Select(x => x.Answer).FirstIsNullReturnEmpty();
+            if (answer == "NE")
+            {
+                return FattyLiverClassification.NE.GetEnumInt();
+            }
+            else if(answer == string.Empty) 
+            {
+                return string.Empty;
+            }
+
+            if (decimal.TryParse(answer, out var value))
+            {
+                return value switch
+                {
+                    < 5 => FattyLiverClassification.Level0.GetEnumInt(),
+                    < 10 => FattyLiverClassification.Level1.GetEnumInt(),
+                    < 25 => FattyLiverClassification.Level2.GetEnumInt(),
+                    _ => FattyLiverClassification.Level3.GetEnumInt()
+                };
+            }
+
+            return FattyLiverClassification.NE.GetEnumInt();
+        }
+
+        /// <summary>
+        /// 计算平均值
+        /// </summary>
+        /// <returns></returns>
+        public async Task CalculateAvg(ReadingCalculateDto inDto)
+        {
+            // 脂肪分数的表格问题Id
+            var questionInfo = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction).FirstOrDefault();
+
+            List<ReadingTableQuestionAnswer> tableAnswers = new List<ReadingTableQuestionAnswer>();
+
+
+            foreach (var item in questionInfo.TableRowInfoList)
+            {
+                var avg = item.TableQuestionList.Where(x => x.QuestionMark == QuestionMark.AverageValue).FirstOrDefault();
+                var avgAnswer = string.Empty;
+                List<QuestionMark?> questionMarks = new List<QuestionMark?>()
+                {
+                    QuestionMark.FirstMeasurement,
+                    QuestionMark.SecondMeasurement,
+                    QuestionMark.ThirdMeasurement,
+                    QuestionMark.FourthMeasurement,
+                };
+                var answers = item.TableQuestionList.Where(x => questionMarks.Contains(x.QuestionMark)).Select(x=>x.Answer).ToList();
+                if (answers.Count() == 3 && !answers.Any(x => x.IsNullOrEmpty()))
+                {
+                   var  avgAnswernum= answers.Select(x=>x.IsNullOrEmptyReturn0()).Average(x=>x);
+                   avgAnswer = decimal.Round(avgAnswernum, inDto.DigitPlaces, MidpointRounding.AwayFromZero).ToString("F" + inDto.DigitPlaces.ToString());
+                }
+                if(item.TableQuestionList.Where(x => x.QuestionMark== QuestionMark.IsMeasurable).Select(x => x.Answer).FirstOrDefault().EqEnum(YesOrNoOrNa.No))
+                {
+                    avgAnswer = "NE";
+                }
+                tableAnswers.Add(new ReadingTableQuestionAnswer()
+                {
+                    Answer = avgAnswer,
+                    VisitTaskId = inDto.VisitTaskId,
+                    QuestionId = avg.QuestionId,
+                    TableQuestionId = avg.TableQuestionId,
+                    TrialId = inDto.TrialId,
+                    RowIndex = avg.RowIndex,
+                    RowId = avg.RowId,
+
+                });
+
+                await _readingTableQuestionAnswerRepository.BatchDeleteNoTrackingAsync(x => x.VisitTaskId == inDto.VisitTaskId && x.RowId == item.RowId && x.TableQuestionId == avg.TableQuestionId);
+            }
+
+            await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswers);
+            await _readingTableQuestionAnswerRepository.SaveChangesAsync();
+
+        }
+
+
+
+        public async Task<GetReportVerifyOutDto> GetReportVerify(GetReportVerifyInDto inDto)
+        {
+            return new GetReportVerifyOutDto()
+            {
+
+            };
+        }
+
+        public async Task VerifyVisitTaskQuestions(VerifyVisitTaskQuestionsInDto inDto)
+        {
+            ReadingCalculateDto readingData = await _generalCalculateService.GetReadingCalculateDto(inDto.VisitTaskId);
+
+            var markList = await _readingTaskQuestionMarkRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId).ToListAsync();
+            var rowInfo = readingData.QuestionInfo.Where(x => x.LesionType == LesionType.FatFraction)
+              .SelectMany(x => x.TableRowInfoList).ToList();
+
+            var tableQuestionList = rowInfo.Where(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.AverageValue && x.Answer.IsNotNullOrEmpty())).ToList();
+
+            if (tableQuestionList.Count() != 8)
+            {
+                throw new BusinessValidationFailedException(_localizer["MRIPDFF_AllNeedToBeMark"]);
+            }
+
+            try
+            {
+                List<QuestionMark?> questionMarkList = new List<QuestionMark?>() { QuestionMark.FirstMeasurement, QuestionMark.SecondMeasurement, QuestionMark.ThirdMeasurement, QuestionMark.FourthMeasurement };
+                var measuredValueList = rowInfo.SelectMany(x => x.TableQuestionList).Where(x =>x.Answer.IsNotNullOrEmpty()&& questionMarkList.Contains(x.QuestionMark)).Select(x => decimal.Parse(x.Answer)).ToList();
+                if (measuredValueList.Any(x => x > 100))
+                {
+                    throw new BusinessValidationFailedException(_localizer["MRIPDFF_MeasurementGT100"]);
+                }
+            }
+            catch (Exception)
+            {
+
+                throw new BusinessValidationFailedException(_localizer["MRIPDFF_MeasurementGT100"]);
+            }
+
+            var notableQuestionList = rowInfo.Where(x => x.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsMeasurable && x.Answer.EqEnum(YesOrNoOrNa.No))).ToList();
+
+
+            foreach (var item in notableQuestionList)
+            {
+                if (markList.Any(x => x.RowId == item.RowId && x.MeasureData.IsNotNullOrEmpty()))
+                {
+                    throw new BusinessValidationFailedException(_localizer["MRIPDFF_NeedClearMark"]);
+                }
+            }
+        
+        }
+    }
+}
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 7cfec52a5..d9ff423a0 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -914,6 +914,12 @@ namespace IRaCIS.Core.Domain.Share
         /// MRIPDFF
         /// </summary>
         MRIPDFF = 21,
+
+        /// <summary>
+        /// MRIPDFFAdvance
+        /// </summary>
+
+        MRIPDFFAdvance = 22,
     }
 
 
@@ -2519,6 +2525,11 @@ namespace IRaCIS.Core.Domain.Share
         /// 肝脏分段
         /// </summary>
         liverSegmentation = 1106,
+
+        /// <summary>
+        /// 第四次测量
+        /// </summary>
+        FourthMeasurement = 1107,
     }
 
     /// <summary>