diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 2ce7c0965..07b59d310 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -18267,12 +18267,14 @@
             <param name="inCommand"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Application.Services.PatientService.CmoveStudyList(IRaCIS.Application.Contracts.SCUCmoveCommand,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomAE})">
+        <member name="M:IRaCIS.Application.Services.PatientService.CmoveStudyList(IRaCIS.Application.Contracts.SCUCmoveCommand,IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.DicomAE},IRaCIS.Core.Infra.EFCore.IRepository{IRaCIS.Core.Domain.Models.SCPInstance},Microsoft.Extensions.Options.IOptionsMonitor{IRaCIS.Core.Domain.Share.ServiceVerifyConfigOption})">
             <summary>
             拉取影像
             </summary>
             <param name="inCommand"></param>
             <param name="_dicomAEReposiotry"></param>
+            <param name="_scpInstanceRepository"></param>
+            <param name="_basicSystemConfigConfig"></param>
             <returns></returns>
         </member>
     </members>
diff --git a/IRaCIS.Core.Application/Service/Visit/PatientService.cs b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
index a1e07941f..1d1319171 100644
--- a/IRaCIS.Core.Application/Service/Visit/PatientService.cs
+++ b/IRaCIS.Core.Application/Service/Visit/PatientService.cs
@@ -3159,6 +3159,8 @@ namespace IRaCIS.Application.Services
 
                 };
 
+                var latestInstanceList = await _scpInstanceRepository.Where(t => inCommand.StudyInstanceUIDList.Contains(t.StudyInstanceUid)).OrderByDescending(t => t.CreateTime).ToListAsync();
+
                 var task = Task.Run(async () =>
                   {
                       var client = DicomClientFactory.Create(find.IP, find.Port, false, hirClient.CalledAE, find.CalledAE);
@@ -3172,10 +3174,10 @@ namespace IRaCIS.Application.Services
                           var cmoveConfig = _basicSystemConfigConfig.CurrentValue;
                           var exsitStudyId = await _fusionCache.GetOrDefaultAsync<string>(CacheKeys.CmoveStudyId(item), null);
 
-                          var latestInstance = await _scpInstanceRepository.Where(t => t.StudyInstanceUid == item).OrderByDescending(t => t.CreateTime).FirstOrDefaultAsync();
+                          var latestInstance = latestInstanceList.Where(t => t.StudyInstanceUid == item).FirstOrDefault();
 
                           //缓存不存在当前检查，或者instance表最新的记录时间与当前时间之差超过1分钟（认为完成归档，可以重复拉取）
-                          if (exsitStudyId == null && (latestInstance == null || latestInstance.CreateTime.AddMinutes(cmoveConfig.CmoveInstanceIntervalMinutes) > DateTime.Now))
+                          if (exsitStudyId == null && (latestInstance == null || latestInstance?.CreateTime.AddMinutes(cmoveConfig.CmoveInstanceIntervalMinutes) < DateTime.Now))
                           {
                               await _fusionCache.SetAsync(CacheKeys.CmoveStudyId(item), item, TimeSpan.FromMinutes(cmoveConfig.CmoveIntervalMinutes));