diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index c281fcdc8..91bb7e521 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -979,15 +979,15 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 						}
 						else if (state == TargetState.DiseaseProgression.GetEnumInt())
 						{
-							await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
-								x.VisitTaskId == inDto.VisitTaskId &&
-								x.RowIndex == inDto.RowNumber &&
-								x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
-								x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
-								{
-									Answer = TargetState.Exist.GetEnumInt()
-								}
-								);
+							//await _readingTableQuestionAnswerRepository.UpdatePartialFromQueryAsync(x =>
+							//	x.VisitTaskId == inDto.VisitTaskId &&
+							//	x.RowIndex == inDto.RowNumber &&
+							//	x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.State &&
+							//	x.QuestionId == targetQuestion.Id, x => new ReadingTableQuestionAnswer()
+							//	{
+							//		Answer = TargetState.Exist.GetEnumInt()
+							//	}
+							//	);
 						}
 
 
@@ -1022,16 +1022,16 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                         // 长径
 						var majorAxis = (await _readingTableQuestionAnswerRepository.Where(x => 
-                        x.VisitTaskId == inDto.VisitTaskId && 
-                        x.RowIndex == (int)Math.Floor(inDto.RowNumber) && 
-                        x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
+                        x.VisitTaskId == inDto.VisitTaskId &&
+						 x.RowIndex >= (int)Math.Floor(inDto.RowNumber) && x.RowIndex < ((int)Math.Floor(inDto.RowNumber) + 1) &&
+						x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.MajorAxis &&
                         x.QuestionId== targetQuestion.Id
 						).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
 
 						// 短径
 						var shortAxis = (await _readingTableQuestionAnswerRepository.Where(x =>
 						x.VisitTaskId == inDto.VisitTaskId &&
-						x.RowIndex == (int)Math.Floor(inDto.RowNumber) &&
+					    x.RowIndex >= (int)Math.Floor(inDto.RowNumber) && x.RowIndex < ((int)Math.Floor(inDto.RowNumber) + 1) &&
 						x.ReadingTableQuestionTrial.QuestionMark == QuestionMark.ShortAxis &&
 						x.QuestionId == targetQuestion.Id
 						).Select(x => x.Answer).FirstOrDefaultAsync()).IsNullOrEmptyReturn0();
@@ -2949,7 +2949,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 if (item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.IsLymph && x.Answer.EqEnum(YesOrNoOrNa.Yes)))
                 {
                     // 当前访视淋巴结靶病灶的状态全部变为“消失”
-                    eqCR = eqCR && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && x.Answer.EqEnum(TargetState.Loss));
+                    eqCR = eqCR && item.TableQuestionList.Any(x => x.QuestionMark == QuestionMark.State && (x.Answer.EqEnum(TargetState.Loss)|| x.Answer.EqEnum(TargetState.TooSmall)));
                 }
             }
             // 1、与基线相比SPD变化的百分比 ≥50%，；
@@ -2998,9 +2998,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 result = TargetAssessment.NE;
             }
-            //当前访视非淋巴结靶病灶全部消失；
-            //并且  2.当前访视淋巴结靶病灶的状态全部变为“消失”。	
-            else if (eqCR)
+			//当前访视非淋巴结靶病灶全部消失 && （当前访视淋巴结靶病灶的状态全部变为“消失” 或者 "太小" ）
+			else if (eqCR)
             {
                 result = TargetAssessment.CR;
             }