diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/GetReadModuleDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/GetReadModuleDto.cs
index 732caaef4..6a12c5c6f 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/GetReadModuleDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/GetReadModuleDto.cs
@@ -64,6 +64,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         [NotDefault]
         public Guid TrialReadingCriterionId { get; set; }
 
+        /// <summary>
+        /// 阅片配置的类型
+        /// </summary>
+        public ReadingSetType ReadingSetType { get; set; }
+
         public Guid Id { get; set; }
     }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
index 9cb77bc89..787c80a9e 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingMedicalReviewDto.cs
@@ -384,13 +384,16 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public string ReadingUser { get; set; }
 
-
+        public Guid SubjectId { get; set; }
         public bool IsReadingTaskViewInOrder { get; set; }
 
         public Guid VisitTaskId { get; set; }
 
         public Arm ArmEnum { get; set; }
 
+        public bool IsExistsClinicalData { get; set; }
+
+
 
         public MedicalReviewAuditState AuditState { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
index 9917ab527..b173ddc47 100644
--- a/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/MedicalAudit/ReadingMedicalReviewService.cs
@@ -33,6 +33,7 @@ namespace IRaCIS.Core.Application.Service
         private readonly IReadingImageTaskService _iReadingImageTaskService;
         private readonly IRepository<User> _userTaskRepository;
         private readonly IVisitTaskService _visitTaskService;
+        private readonly IReadingClinicalDataService _readingClinicalDataService;
         private readonly IRepository<TaskMedicalReview> _taskMedicalReviewRepository;
         private readonly IRepository<ReadingMedicalReviewDialog> _readingMedicalReviewDialogRepository;
         private readonly IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrial;
@@ -52,6 +53,7 @@ namespace IRaCIS.Core.Application.Service
               IRepository<ReadingSystemCriterionDictionary> readingCriterionDictionaryRepository,
             IRepository<User> userTaskRepository,
             IVisitTaskService visitTaskService,
+                  IReadingClinicalDataService readingClinicalDataService,
             IRepository<TaskMedicalReview> taskMedicalReviewRepository,
             IRepository<ReadingMedicalReviewDialog> readingMedicalReviewDialogRepository,
             IRepository<ReadingQuestionCriterionTrial> readingQuestionCriterionTrial,
@@ -71,6 +73,7 @@ namespace IRaCIS.Core.Application.Service
             this._readingCriterionDictionaryRepository = readingCriterionDictionaryRepository;
             this._userTaskRepository = userTaskRepository;
             this._visitTaskService = visitTaskService;
+            this._readingClinicalDataService = readingClinicalDataService;
             this._taskMedicalReviewRepository = taskMedicalReviewRepository;
             this._readingMedicalReviewDialogRepository = readingMedicalReviewDialogRepository;
             this._readingQuestionCriterionTrial = readingQuestionCriterionTrial;
@@ -109,11 +112,22 @@ namespace IRaCIS.Core.Application.Service
          
 
             medicalReviewInfo.VisitTaskId = taskInfo.Id;
+
+            var clinicalDataList = await _readingClinicalDataService.GetClinicalDataList(new GetReadingOrTaskClinicalDataListInDto()
+            {
+
+                SubjectId = taskInfo.SubjectId,
+                TrialId = taskInfo.TrialId,
+                VisitTaskId = taskInfo.Id,
+            });
+
+            medicalReviewInfo.IsExistsClinicalData = clinicalDataList.Count > 0;
+
             medicalReviewInfo.ArmEnum = taskInfo.ArmEnum;
             medicalReviewInfo.SubjectCode = taskInfo.IsAnalysisCreate?taskInfo.BlindSubjectCode: taskInfo.Subject.Code;
             medicalReviewInfo.TaskBlindName = taskInfo.TaskBlindName;
             medicalReviewInfo.ReadingUser = taskInfo.DoctorUser.FirstName + taskInfo.DoctorUser.LastName;
-
+            medicalReviewInfo.SubjectId = taskInfo.SubjectId;
             medicalReviewInfo.IsClosedDialog = medicalReviewInfo.MedicalReviewInfo.IsClosedDialog;
             medicalReviewInfo.AuditState = medicalReviewInfo.MedicalReviewInfo.AuditState;
             medicalReviewInfo.IsSendMessage = medicalReviewInfo.MedicalReviewInfo.IsSendMessage;
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
index fc8869b44..6174c5b50 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
@@ -98,7 +98,8 @@ namespace IRaCIS.Application.Services
             var resultlist = await visitQuery.WhereIf(finalVisitNum != null && finalVisitNum != 0, x => x.VisitNum <= finalVisitNum)
                  .Where(x => x.VisitNum > mixReadVisitNum)
                  .Where(x => !x.IsBaseLine) // 排除基线
-                 .Where(x => readModulequery.Where(y => y.Id != inDto.Id && y.SubjectVisitId == x.Id && y.TrialReadingCriterionId == inDto.TrialReadingCriterionId && y.ReadingSetType == ReadingSetType.ImageReading).Count() == 0)
+                 .WhereIf(inDto.ReadingSetType == ReadingSetType.TumorReading, x => readModulequery.Where(y => y.SubjectVisitId == x.Id && y.TrialReadingCriterionId == inDto.TrialReadingCriterionId && y.ReadingSetType == ReadingSetType.ImageReading).Count() > 0)
+                 .WhereIf(inDto.ReadingSetType == ReadingSetType.ImageReading, x => readModulequery.Where(y => y.Id != inDto.Id && y.SubjectVisitId == x.Id && y.TrialReadingCriterionId == inDto.TrialReadingCriterionId && y.ReadingSetType == ReadingSetType.ImageReading).Count() == 0)
                  .Select(x => new GetSubjectReadVisitsOutDto()
                  {
                      SubjectVisitId = x.Id,
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index ee59f65bf..31af7b5a4 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2210,7 +2210,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             
             
             }).OrderByDescending(x=>x.Answer).FirstOrDefault();
-            if (maxSuv == null)
+            if (maxSuv == null|| maxSuv .Answer == 0m)
             {
                 return string.Empty;
             }
@@ -2258,7 +2258,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 VisitTaskId=inDto.VisitTaskId,
             });
 
-            return studyList.Any(x => x.Modalities.Contains("PET")) ? ReadingYesOrNo.Yes.GetEnumInt() : ReadingYesOrNo.No.GetEnumInt();
+            return studyList.Any(x => x.Modalities.Contains("PT")) ? ReadingYesOrNo.Yes.GetEnumInt() : ReadingYesOrNo.No.GetEnumInt();
         }
 
         #region 影像学整体肿瘤评估
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
index 68837dbd2..de36657b6 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterion/ReadingQuestionCriterionTrial.cs
@@ -91,7 +91,7 @@ namespace IRaCIS.Core.Domain.Models
 		/// <summary>
 		/// 评估原因
 		/// </summary>
-		public string EvaluationReason { get; set; } = "肿瘤学阅片评估原因请依据临床数据填写，在与影像学结果不一致时必填。";
+		public string EvaluationReason { get; set; } = StaticData.International("CriterionTrial_EvaluationReason");
 
 
 		/// <summary>