diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
index 81f0e1a3f..b0435897e 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/Dto/CriterionCalculateDto.cs
@@ -66,9 +66,9 @@ namespace IRaCIS.Core.Application.ViewModel
         public bool MeetRECISTPD { get; set; }
 
         /// <summary>
-        /// 本次访视SOD增加不小于5mm
+        /// 本次访视SOD与触发iRECIST访视相比本次访视SOD增加不小于5mm
         /// </summary>
-        public bool SODAddGreaterThan5 { get; set; }
+        public bool SODTiggerAddGreaterThan5 { get; set; }
 
         /// <summary>
         /// 比整体访视期间最低点SOD增加≥20 %
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index 3912f28cb..d95cabca9 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -1648,6 +1648,27 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
 
 
+        }
+
+        /// <summary>
+        /// 获取第一次转变访视任务Id
+        /// </summary>
+        /// <returns></returns>
+        private async Task<Guid> GetFirstChangeTaskId(ReadingCalculateDto inDto)
+        {
+
+            var taskinfo = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).ProjectTo<VisitTaskDto>(_mapper.ConfigurationProvider).FirstNotNullAsync();
+            var firstChangeTaskId = 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.ArmEnum == taskinfo.ArmEnum
+                 && x.BeforeConvertedTaskId!=null && x.TaskState == TaskState.Effect
+                 ).OrderBy(x => x.VisitTaskNum).Select(x => x.Id).FirstOrDefaultAsync();
+
+            return firstChangeTaskId;
+
         }
         #endregion
 
@@ -1670,7 +1691,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// {
         ///     靶病灶疗效为 ICPD
         /// } 
-        /// else if (上一访视评估为iUPD&&本次访视SOD增加不小于5mm)
+        /// else if (上一访视评估为iUPD&&与触发iRECIST访视相比本次访视SOD增加不小于5mm)
         /// {
         ///     靶病灶疗效为 ICPD
         /// } 
@@ -1700,7 +1721,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
             var tableQuestion = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.TargetLesion).SelectMany(x => x.TableRowInfoList).ToList();
             var lastVisitTaskId = await GetLastVisitTaskId(inDto);
-			var targetLesionQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.QuestionId).FirstOrDefault();
+            var firstChangeTaskId = await GetFirstChangeTaskId(inDto);
+            var targetLesionQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.TargetLesion).Select(x => x.QuestionId).FirstOrDefault();
 
             var sodQuestionId = inDto.QuestionInfo.Where(x => x.QuestionType == QuestionType.SOD).Select(x => x.QuestionId).FirstOrDefault();
             IRECISTTargetLesionDto resultData = new IRECISTTargetLesionDto()
@@ -1715,8 +1737,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 // 满足RECISTPD
                 MeetRECISTPD = (await GetTargetLesionEvaluate(inDto)) == TargetAssessment.PD.GetEnumInt(),
 
-                // 本次访视SOD增加不小于5mm
-                SODAddGreaterThan5 = await GetSODData(inDto) - (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == lastVisitTaskId && x.ReadingQuestionTrialId == sodQuestionId)
+                // 本次访视SOD与触发iRECIST访视相比本次访视SOD增加不小于5mm
+                SODTiggerAddGreaterThan5 = firstChangeTaskId==inDto.VisitTaskId ? false : await GetSODData(inDto) - (await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == firstChangeTaskId && x.ReadingQuestionTrialId == sodQuestionId)
                 .Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0() >= 5,
 
                 //比整体访视期间最低点SOD增加≥20 %
@@ -1771,8 +1793,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 //     靶病灶疗效为 ICPD
                 result = TargetAssessment.iCPD;
             }
-            // else if (上一访视评估为iUPD&&本次访视SOD增加不小于5mm)
-            else if (resultData.LastTaskTarget.EqEnum(TargetAssessment.iUPD) && resultData.SODAddGreaterThan5)
+            // else if (上一访视评估为iUPD&&与触发iRECIST访视相比本次访视SOD增加不小于5mm)
+            else if (resultData.LastTaskTarget.EqEnum(TargetAssessment.iUPD) && resultData.SODTiggerAddGreaterThan5)
             {
                 //     靶病灶疗效为 ICPD
                 result = TargetAssessment.iCPD;
@@ -2536,7 +2558,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         /// 
         /// </summary>
         /// <remarks>
-        /// if（上一访视整体肿瘤评估评估为iCPD && 靶病灶评估、非靶病灶评估或新病灶评估任一项为iCPD） 
+        /// if（上一访视整体肿瘤评估评估为iCPD && 靶病灶评估、非靶病灶评估或新病灶评估任一项为iCPD或iCPD） 
         /// {
         ///    疗效为 iCPD
         /// }
@@ -2610,11 +2632,11 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 LastTaskLesioniUPDOriCPD = lastTaskCalculateDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.Tumor && (x.Answer.EqEnum(OverallAssessment.iCPD) || x.Answer.EqEnum(OverallAssessment.iUPD))),
             };
 
-            // if（上一访视整体肿瘤评估评估为iCPD && 靶病灶评估、非靶病灶评估或新病灶评估任一项为iCPD） 
+            // if（上一访视整体肿瘤评估评估为iCPD && 靶病灶评估、非靶病灶评估或新病灶评估任一项为iCPD或iCPD） 
             if (lastTaskCalculateDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.Tumor && x.Answer.EqEnum(OverallAssessment.iCPD))
-                && (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && x.Answer.EqEnum(TargetAssessment.iCPD))
-               || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NoTargetLesion && x.Answer.EqEnum(NoTargetAssessment.iCPD))
-               || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewLesionEvaluation && x.Answer.EqEnum(NewLesionAssessment.iCPD))))
+                && (inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.TargetLesion && (x.Answer.EqEnum(TargetAssessment.iCPD)||x.Answer.EqEnum(TargetAssessment.iUPD)))
+               || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NoTargetLesion && (x.Answer.EqEnum(NoTargetAssessment.iCPD) || x.Answer.EqEnum(NoTargetAssessment.iUPD)))
+               || inDto.QuestionInfo.Any(x => x.QuestionType == QuestionType.NewLesionEvaluation&& (x.Answer.EqEnum(NewLesionAssessment.iCPD) || x.Answer.EqEnum(NewLesionAssessment.iUPD)))))
             {
                 //    疗效为 iCPD
                 result = OverallAssessment.iCPD;