diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 011670658..6961be8d3 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -611,19 +611,19 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                  new ReadingCalculateData (){QuestionType=QuestionType.LiverAssessment,GetStringFun=GetLiverAssessment,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation,  ComputationTrigger.LiverStatus,}},
 
                     // 骨髓中是否存在局灶性 FDG亲和病灶的证据
-                  new ReadingCalculateData (){QuestionType=QuestionType.EvidenceFocalFDG,GetStringFun=GetEvidenceFocalFDG,ComputationTriggerList=new List<ComputationTrigger>(){   }},
+                  new ReadingCalculateData (){QuestionType=QuestionType.EvidenceFocalFDG,GetStringFun=GetEvidenceFocalFDG,ComputationTriggerList=new List<ComputationTrigger>(){  ComputationTrigger.ImageQuality, }},
 
                 //CT/MRI
                 new ReadingCalculateData (){QuestionType=QuestionType.CTandMRI,GetStringFun=CTMRIEvaluation,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation,  ComputationTrigger.LiverStatus,ComputationTrigger.SplenicApexPosition,ComputationTrigger.PositionSpleenFloor,ComputationTrigger.SplenicEvaluation,ComputationTrigger.CTSave,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.MergeLesion,}},
 
                 // PET 5PS评分
-                new ReadingCalculateData (){QuestionType=QuestionType.PET5PS,GetStringFun=GetPET5PS,ComputationTriggerList=new List<ComputationTrigger>(){  ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,} },
+                new ReadingCalculateData (){QuestionType=QuestionType.PET5PS,GetStringFun=GetPET5PS,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
 
                 // 修改PET 5PS评分备注
 			   new ReadingCalculateData (){QuestionType=QuestionType.PSScoreRemarks,GetStringFun=GetPET5PSRemark,ComputationTriggerList=new List<ComputationTrigger>(){   ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
 
                 //与基线相比摄取值变化
-                new ReadingCalculateData (){QuestionType=QuestionType.UptakeChange,GetStringFun=GetUptakeChange,ComputationTriggerList=new List<ComputationTrigger>(){   ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
+                new ReadingCalculateData (){QuestionType=QuestionType.UptakeChange,GetStringFun=GetUptakeChange,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,}},
 
                 // FDG-PET 评估结果
                  new ReadingCalculateData (){QuestionType=QuestionType.FDGPET,GetStringFun=GetFDGPETOverallAssessment,ComputationTriggerList=new List<ComputationTrigger>(){ ComputationTrigger.InitialCalculation, ComputationTrigger.ImageQuality, ComputationTrigger.LiverBloodPool,ComputationTrigger.MediastinalPool,ComputationTrigger.MergeSave,ComputationTrigger.RemoveLesion,ComputationTrigger.PDGPET,}},
@@ -2666,6 +2666,12 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// <returns></returns>
         public async Task<string> GetUptakeChange(ReadingCalculateDto inDto)
         {
+
+            if (await ImageQualityIsUnableFuse(inDto))
+            {
+				return SUVChangeVSBaseline.NotEvaluable.GetEnumInt();
+			}
+
             //PET5ps评分改变时，才计算
 
             List<QuestionType?> needSearchTypes = new List<QuestionType?>()
@@ -2692,7 +2698,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
 
 
-            if (inDto.IsBaseLine || (await ImageQualityIsUnableFuse(inDto)))
+            if (inDto.IsBaseLine)
             {
                 return SUVChangeVSBaseline.NA.GetEnumInt();
             }