diff --git a/IRaCIS.Core.API/appsettings.Event_IRC.json b/IRaCIS.Core.API/appsettings.Event_IRC.json
index ae67d935c..d59688ca2 100644
--- a/IRaCIS.Core.API/appsettings.Event_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Event_IRC.json
@@ -35,7 +35,8 @@
   },
 
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
 
     "OpenSignDocumentBeforeWork": true,
diff --git a/IRaCIS.Core.API/appsettings.Prod_IRC.json b/IRaCIS.Core.API/appsettings.Prod_IRC.json
index c3fe60922..700dc1c83 100644
--- a/IRaCIS.Core.API/appsettings.Prod_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Prod_IRC.json
@@ -36,7 +36,8 @@
     }
   },
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
     "OpenSignDocumentBeforeWork": true,
 
diff --git a/IRaCIS.Core.API/appsettings.Test_IRC.json b/IRaCIS.Core.API/appsettings.Test_IRC.json
index f92ac78ea..8811cf064 100644
--- a/IRaCIS.Core.API/appsettings.Test_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Test_IRC.json
@@ -88,6 +88,8 @@
   },
   // 系统配置
   "BasicSystemConfig": {
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     // 打开用户复杂密码
     "OpenUserComplexPassword": false,
     // 是否在开始工作前强制签署电子知情同意书
diff --git a/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json b/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
index 3fa1432e8..ebd2c44fe 100644
--- a/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
+++ b/IRaCIS.Core.API/appsettings.Test_IRC_PGSQL.json
@@ -47,7 +47,8 @@
   },
 
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": false,
 
     "OpenSignDocumentBeforeWork": false,
diff --git a/IRaCIS.Core.API/appsettings.US_Prod_IRC.json b/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
index e7096b058..299f040d6 100644
--- a/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Prod_IRC.json
@@ -38,7 +38,8 @@
     }
   },
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
     "OpenSignDocumentBeforeWork": true,
 
diff --git a/IRaCIS.Core.API/appsettings.US_Test_IRC.json b/IRaCIS.Core.API/appsettings.US_Test_IRC.json
index a8667d8c8..f0f8da12a 100644
--- a/IRaCIS.Core.API/appsettings.US_Test_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Test_IRC.json
@@ -44,7 +44,8 @@
     }
   },
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
 
     "OpenSignDocumentBeforeWork": true,
diff --git a/IRaCIS.Core.API/appsettings.US_Uat_IRC.json b/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
index 7a4a841a7..26eb2d496 100644
--- a/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
+++ b/IRaCIS.Core.API/appsettings.US_Uat_IRC.json
@@ -48,7 +48,8 @@
     }
   },
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
     "OpenSignDocumentBeforeWork": true,
 
diff --git a/IRaCIS.Core.API/appsettings.Uat_IRC.json b/IRaCIS.Core.API/appsettings.Uat_IRC.json
index 1afacc3a0..d4d54aff4 100644
--- a/IRaCIS.Core.API/appsettings.Uat_IRC.json
+++ b/IRaCIS.Core.API/appsettings.Uat_IRC.json
@@ -54,7 +54,8 @@
   },
 
   "BasicSystemConfig": {
-
+    // 启用质控风险控制功能
+    "QCRiskControl": true,
     "OpenUserComplexPassword": true,
     "OpenSignDocumentBeforeWork": true,
 
diff --git a/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs b/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
index 0983bd60c..a70e18aa8 100644
--- a/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
+++ b/IRaCIS.Core.Application/BusinessFilter/_Config/_AppSettings.cs
@@ -7,6 +7,7 @@ namespace IRaCIS.Core.Domain.Share;
 [Description("多环境 配置环境实体")]
 public class ServiceVerifyConfigOption
 {
+    public bool QCRiskControl { get; set; }
     public bool OpenUserComplexPassword { get; set; }
 
     public bool OpenSignDocumentBeforeWork { get; set; }
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index 56c35f245..cfa4430e9 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -265,6 +265,7 @@ namespace IRaCIS.Core.Application.Contracts.DTO
     {
         public bool ExistsManual { get; set; }
         public bool IsHaveStudyClinicalData { get; set; }
+        public bool QCRiskControl { get; set; }
         public SubjectClinicalDataDto SubjectClinicalData { get; set; } = new SubjectClinicalDataDto();
 
         public List<NoneDicomStudyView> NoneDicomStudyList { get; set; } = new List<NoneDicomStudyView>();
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 26ff00d8f..a974c0f46 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -7,6 +7,7 @@ using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Infrastructure.Extention;
 using MassTransit.Initializers;
 using Microsoft.AspNetCore.Mvc;
+using Microsoft.Extensions.Options;
 using NPOI.SS.Formula.Functions;
 using System.Linq;
 
@@ -25,6 +26,7 @@ namespace IRaCIS.Core.Application.Image.QA
         IRepository<DicomSeries> _dicomSeriesRepository,
         IRepository<NoneDicomStudy> _noneDicomStudyRepository,
         IRepository<QCChallenge> _qcChallengeRepository,
+           IOptionsMonitor<ServiceVerifyConfigOption> _verifyConfig,
         IRepository<SubjectVisitImageBackRecord> _subjectVisitImageBackRecordReposiotry,
          IRepository<UserRole> _userRoleReposiotry,
         IReadingImageTaskService _IReadingImageTaskService, IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer) : BaseService, IQCListService
@@ -456,7 +458,7 @@ namespace IRaCIS.Core.Application.Image.QA
             return new TrialVisitQADTO
             {
                 QCQuestionAnswerList = qacheckList,
-
+                QCRiskControl = _verifyConfig.CurrentValue.QCRiskControl,
                 SecondReviewList = secondReviewList,
 
                 IsHaveStudyClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.IsConfirm && x.TrialId == sv.TrialId && x.ClinicalDataLevel == ClinicalLevel.Study),
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 58876c832..86294b8f0 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1953,10 +1953,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             var baseLineSpleenLength = await GetBaseLineSpleenLength(inDto);
 
-            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
+            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+
+            if (presentSpleenLength == null)
+            {
+                return string.Empty;
+            }
             if (baseLineSpleenLength - 130 > 0 && presentSpleenLength > 130)
             {
-                return ReserveDecimal((presentSpleenLength - 130 - (baseLineSpleenLength - 130)) * 100 / (baseLineSpleenLength - 130), inDto.DigitPlaces);
+                return ReserveDecimal((presentSpleenLength.Value - 130 - (baseLineSpleenLength - 130)) * 100 / (baseLineSpleenLength - 130), inDto.DigitPlaces);
             }
             else
             {
@@ -1981,11 +1986,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
             if (TaskAnswer.Count() == 0)
             {
-                return "0";
+                return string.Empty;
+            }
+            var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+            if (presentSpd == null)
+            {
+                return string.Empty;
             }
-            var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var lowSplenoncus = TaskAnswer.OrderBy(x => x.SpleenLength).Select(x => x.SpleenLength).FirstOrDefault();
-            return (presentSpd - lowSplenoncus).ToString();
+            return (presentSpd.Value - lowSplenoncus).ToString();
 
 
         }
@@ -2011,8 +2020,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 return "NA";
             }
 
-            var lowSplenoncus = taskAnswer.OrderBy(x => x.SpleenLength).FirstOrDefault();
-            return lowSplenoncus.BlindName;
+            var lowSplenoncus = taskAnswer.Where(x=>x.SpleenLength!=0).OrderBy(x => x.SpleenLength).FirstOrDefault();
+            if (lowSplenoncus != null)
+            {
+                return lowSplenoncus.BlindName;
+            }
+            else
+            {
+                return string.Empty;
+            }
+           
 
 
         }
@@ -3015,10 +3032,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
 
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
-            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
+            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+            if(presentSpleenLength==null)
+            {
+                return string.Empty;
+            }
             var baseLineSpleenLength = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
 
-            return (presentSpleenLength - baseLineSpleenLength).ToString();
+            return (presentSpleenLength.Value - baseLineSpleenLength).ToString();
 
 
         }
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
index 610d83594..80e2f74ee 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoWithoutPETCalculateService.cs
@@ -1953,10 +1953,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             var baseLineSpleenLength = await GetBaseLineSpleenLength(inDto);
 
-            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
+            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+
+            if (presentSpleenLength == null)
+            {
+                return string.Empty;
+            }
             if (baseLineSpleenLength - 130 > 0 && presentSpleenLength > 130)
             {
-                return ReserveDecimal((presentSpleenLength - 130 - (baseLineSpleenLength - 130)) * 100 / (baseLineSpleenLength - 130), inDto.DigitPlaces);
+                return ReserveDecimal((presentSpleenLength.Value - 130 - (baseLineSpleenLength - 130)) * 100 / (baseLineSpleenLength - 130), inDto.DigitPlaces);
             }
             else
             {
@@ -1981,11 +1986,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
             if (TaskAnswer.Count() == 0)
             {
-                return "0";
+                return string.Empty;
+            }
+            var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+            if (presentSpd == null)
+            {
+                return string.Empty;
             }
-            var presentSpd = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
             var lowSplenoncus = TaskAnswer.OrderBy(x => x.SpleenLength).Select(x => x.SpleenLength).FirstOrDefault();
-            return (presentSpd - lowSplenoncus).ToString();
+            return (presentSpd.Value - lowSplenoncus).ToString();
 
 
         }
@@ -2011,8 +2020,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 return "NA";
             }
 
-            var lowSplenoncus = taskAnswer.OrderBy(x => x.SpleenLength).FirstOrDefault();
-            return lowSplenoncus.BlindName;
+            var lowSplenoncus = taskAnswer.Where(x => x.SpleenLength != 0).OrderBy(x => x.SpleenLength).FirstOrDefault();
+            if (lowSplenoncus != null)
+            {
+                return lowSplenoncus.BlindName;
+            }
+            else
+            {
+                return string.Empty;
+            }
+
 
 
         }
@@ -3015,10 +3032,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             }
 
             var baseLineTaskId = await GetBaseLineTaskId(inDto);
-            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturn0();
+            var presentSpleenLength = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefault().IsNullOrEmptyReturnNull();
+            if (presentSpleenLength == null)
+            {
+                return string.Empty;
+            }
             var baseLineSpleenLength = (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == baseLineTaskId && x.ReadingQuestionTrial.QuestionType == QuestionType.SpleenLength).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
 
-            return (presentSpleenLength - baseLineSpleenLength).ToString();
+            return (presentSpleenLength.Value - baseLineSpleenLength).ToString();
 
 
         }
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
index c93824f17..66379bbe9 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/RECIST1Point1CalculateService.cs
@@ -593,13 +593,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                         TableQuestionId = x.TableQuestionId,
                         TrialId = x.TrialId,
                         VisitTaskId = visitTaskId,
-                    });
+                    }).ToList();
 
 
 
 
                     var addList = _mapper.Map<List<ReadingTableAnswerRowInfo>>(tableRowAnswers);
 
+
+                   await _generalCalculateService.CopyHistoryAnswer(taskinfo, addList, tableAnswers);
                     await _readingTableAnswerRowInfoRepository.AddRangeAsync(addList);
                     await _readingTableQuestionAnswerRepository.AddRangeAsync(tableAnswers);