diff --git a/src/views/trials/trials-panel/reading/visit-review/components/FileViewer.vue b/src/views/trials/trials-panel/reading/visit-review/components/FileViewer.vue
index a953a66c..c5f698a0 100644
--- a/src/views/trials/trials-panel/reading/visit-review/components/FileViewer.vue
+++ b/src/views/trials/trials-panel/reading/visit-review/components/FileViewer.vue
@@ -63,6 +63,14 @@
       >
         <svg-icon icon-class="polygon" class="svg-icon" />
       </div>
+      <!-- <div
+        :class="['tool-item', readingTaskState === 2 ? 'tool-disabled' : '', activeTool === 'SplineROITool' ? 'tool-item-active' : '']"
+        :title="$t('trials:reading:button:SplineROITool')"
+        @click.prevent="setAnnotateToolActive('SplineROITool')"
+      >
+        <svg-icon icon-class="polygon" class="svg-icon" />
+      </div> -->
+      
       <div
         :class="['tool-item', readingTaskState === 2 ? 'tool-disabled' : '', activeTool === 'Eraser' ? 'tool-item-active' : '']"
         :title="$t('trials:dicom-show:Eraser')"
@@ -70,13 +78,13 @@
       >
         <svg-icon icon-class="clear" class="svg-icon" />
       </div>
-      <!-- <div
+      <div
         :class="['tool-item', readingTaskState === 2 ? 'tool-disabled' : '', activeTool === 'Length' ? 'tool-item-active' : '']"
         :title="$t('trials:dicom-show:length')"
         @click.prevent="setAnnotateToolActive('Length')"
       >
         <svg-icon icon-class="length" class="svg-icon" />
-      </div> -->
+      </div>
       <!-- 截图 -->
       <!-- <div
         class="tool-item"
@@ -242,6 +250,7 @@ const {
   ArrowAnnotateTool,
   RectangleROITool,
   PlanarFreehandROITool,
+  SplineROITool,
   EraserTool,
   LengthTool
   // cursors
@@ -255,6 +264,12 @@ export default {
       default() {
         return {}
       }
+    },
+    psArr: {
+      type: Array,
+      default() {
+        return []
+      }
     }
   },
   data() {
@@ -272,7 +287,8 @@ export default {
       activeTool: '',
       readingTaskState: 2,
       renderHistoryAnnotationTaskIds: [],
-      imageType: ['image/jpeg', 'image/jpg', 'image/bmp', 'image/png']
+      imageType: ['image/jpeg', 'image/jpg', 'image/bmp', 'image/png'],
+      digitPlaces: 2
     }
   },
   computed: {
@@ -344,6 +360,8 @@ export default {
       isMove: false,
       height: 0
     }))
+    let digitPlaces = Number(localStorage.getItem('digitPlaces'))
+    this.digitPlaces = digitPlaces === -1 ? this.digitPlaces : digitPlaces
     this.initLoader()
     window.addEventListener('message', this.handleIframeMessage)
   },
@@ -380,6 +398,7 @@ export default {
         element.oncontextmenu = (e) => e.preventDefault()
         resizeObserver.observe(element)
         element.addEventListener('CORNERSTONE_STACK_NEW_IMAGE', this.stackNewImage)
+        
       })
       const viewportInputArray = [
         {
@@ -413,6 +432,7 @@ export default {
       cornerstoneTools.addTool(ArrowAnnotateTool)
       cornerstoneTools.addTool(RectangleROITool)
       cornerstoneTools.addTool(PlanarFreehandROITool)
+      cornerstoneTools.addTool(SplineROITool)
       cornerstoneTools.addTool(EraserTool)
       cornerstoneTools.addTool(LengthTool)
       
@@ -434,14 +454,25 @@ export default {
             return doneChangingTextCallback(await this.customPrompt())
           }
         })
-        toolGroup.addTool(RectangleROITool.toolName)
+        toolGroup.addTool(RectangleROITool.toolName, {
+          cachedStats: false,
+          getTextLines: this.getRectangleROIToolTextLines
+        })
         toolGroup.addTool(PlanarFreehandROITool.toolName, {
           allowOpenContours: false,
-          cachedStats: false
+          cachedStats: false,
+          getTextLines: this.getPlanarFreehandROIToolTextLines
         })
+        // const splineConfig = toolGroup.getToolConfiguration(
+        //   splineToolName,
+        //   'spline'
+        // )
+        toolGroup.addTool(SplineROITool.toolName)
+        
         toolGroup.addTool(EraserTool.toolName)
         toolGroup.addTool(LengthTool.toolName, {
-          getTextLines: this.getLengthToolTextLines
+          getTextLines: this.getLengthToolTextLines,
+          cachedStats: false
         })
         
         toolGroup.setToolActive(StackScrollTool.toolName, {
@@ -454,11 +485,13 @@ export default {
           toolGroup.setToolPassive(ArrowAnnotateTool.toolName)
           toolGroup.setToolPassive(RectangleROITool.toolName)
           toolGroup.setToolPassive(PlanarFreehandROITool.toolName)
+          toolGroup.setToolPassive(SplineROITool.toolName)
           toolGroup.setToolPassive(LengthTool.toolName)
         } else {
           toolGroup.setToolEnabled(ArrowAnnotateTool.toolName)
           toolGroup.setToolEnabled(RectangleROITool.toolName)
           toolGroup.setToolEnabled(PlanarFreehandROITool.toolName)
+          toolGroup.setToolEnabled(SplineROITool.toolName)
           toolGroup.setToolEnabled(LengthTool.toolName)
         }
         toolGroup.setToolPassive(EraserTool.toolName)
@@ -482,18 +515,38 @@ export default {
     renderHistoryAnnotations(obj) {
       if (this.renderHistoryAnnotationTaskIds.includes(obj.VisitTaskId)) return
       this.renderHistoryAnnotationTaskIds.push(obj.VisitTaskId)
-      const arr = []
+      // let arr = []
       obj.Annotations.map(i => {
-        if (typeof i.MeasureData === 'string') {
-          const annotation = JSON.parse(i.MeasureData)
+        // if (typeof i.MeasureData === 'string') {
+          // const annotation = JSON.parse(i.MeasureData)
+          const annotation = i.MeasureData
           annotation.annotationId = i.Id
-          arr.push(annotation)
+          // if (annotation.metadata.toolName === 'Length') {
+          //   let annotations = obj.Annotations.filter(item=>{
+          //     const annotation = JSON.parse(item.MeasureData)
+          //     item.metadata.referencedImageId === annotation.metadata.referencedImageId
+          //   })
+          //   annotations.map(i=>{
+          //     return {
+          //       i,
+          //       'i.data.ps': annotation.data.handles.ps
+          //     }
+          //   })
+          //   console.log(annotations)
+          // }
           cornerstoneTools.annotation.state.addAnnotation(annotation)
           if (obj.ReadingTaskState === 2) {
             cornerstoneTools.annotation.locking.setAnnotationLocked(annotation.annotationUID)
           }
-        }
+        
       })
+      // arr.map(i=>{
+      //   cornerstoneTools.annotation.state.addAnnotation(i)
+      //   if (obj.ReadingTaskState === 2) {
+      //     cornerstoneTools.annotation.locking.setAnnotationLocked(i.annotationUID)
+      //   }
+      // })
+      
     },
     // 渲染图片
     async renderImage(imageIds, canvasIndex, sliceIndex) {
@@ -726,6 +779,18 @@ export default {
           if (this.activeTool) {
             toolGroup.setToolPassive(this.activeTool)
           }
+          if (toolName === 'Length') {
+            const renderingEngine = getRenderingEngine(renderingEngineId)
+            const viewport = renderingEngine.getViewport(`canvas-${this.activeCanvasIndex}`)
+            let imageId = viewport.csImage.imageId
+            let annotations = cornerstoneTools.annotation.state.getAllAnnotations()
+            let idx = annotations.findIndex(i=>i.metadata.referencedImageId === imageId && i.metadata.toolName === 'Length')
+            if (idx > -1) {
+              this.activeTool = ''
+              this.$message.warning('当前图像已标注比例尺！')
+              return
+            }
+          }
           toolGroup.setToolActive(toolName, {
             bindings: [{ mouseButton: MouseBindings.Primary }]
           })
@@ -772,11 +837,20 @@ export default {
       if (!annotation) return
       if (annotation.annotationId) {
         await deleteTrialFileType(annotation.annotationId)
+      } else {
+        cornerstoneTools.annotation.state.removeAnnotation(annotation.annotationUID)
       }
       const renderingEngine = getRenderingEngine(renderingEngineId)
       const viewport = renderingEngine.getViewport(`canvas-${this.activeCanvasIndex}`)
       viewport.render()
-      // 删除成功
+      const i = this.viewportInfos.findIndex(i => i.index === this.activeCanvasIndex)
+      const imageId = annotation.metadata.referencedImageId
+      const path = imageId.split(`web:${this.OSSclientConfig.basePath}`)[1]
+      const fileList = this.viewportInfos[i].fileList
+      const fileIndex = fileList.findIndex(f => f.Path === path)
+      if (annotation.metadata.toolName === 'Length') {
+        this.$emit('setPS', {NoneDicomFileId: fileList[fileIndex].Id,Path: fileList[fileIndex].Path, PS: null})
+      }
     },
     async annotationModifiedListener(e) {
       console.log('Modified')
@@ -793,6 +867,15 @@ export default {
       const fileList = this.viewportInfos[i].fileList
       const fileIndex = fileList.findIndex(f => f.Path === path)
       if (fileIndex === -1) return
+      if (annotation.metadata.toolName === 'Length') {
+        const value = annotation.data.l
+        if (value) {
+          let cachedStats = Object.keys(annotation.data.cachedStats)
+          let ps = value / annotation.data.cachedStats[cachedStats[0]].length
+          annotation.data.ps = ps
+          this.$emit('setPS', {NoneDicomFileId: fileList[fileIndex].Id,Path: fileList[fileIndex].Path, PS: ps})
+        }
+      }
       const params = {
         id: annotation.annotationId,
         visitTaskId: this.viewportInfos[i].taskInfo.VisitTaskId,
@@ -820,16 +903,29 @@ export default {
       const fileIndex = fileList.findIndex(f => f.Path === path)
       if (fileIndex === -1) return
       if (annotation.metadata.toolName === 'Length') {
-        const { value } = await this.$prompt('请录入录入物理长度（mm）！')
-        annotation.data.handles.scale = value
-        if (!value) {
-          // 移除标记
-          cornerstoneTools.annotation.state.addAnnotation(annotation.annotationUID)
-          const renderingEngine = getRenderingEngine(renderingEngineId)
-          const viewport = renderingEngine.getViewport(`canvas-${this.activeCanvasIndex}`)
-          viewport.render()
+        const value = await this.$prompt('请录入物理长度（mm）！', '', {
+            showClose: false,
+            showCancelButton: false,
+            closeOnClickModal: false,
+            inputPattern: /^\d+$/,
+            inputErrorMessage: '请输入数值'
+          }).then(({ value }) => {
+            return value
+          }).catch(() => {
+            return null
+          })
+        if (value) {
+          annotation.data.l = parseFloat(value)
+          let cachedStats = Object.keys(annotation.data.cachedStats)
+          let ps = parseFloat(value) / annotation.data.cachedStats[cachedStats[0]].length
+          annotation.data.ps = ps
+          this.$emit('setPS', {NoneDicomFileId: fileList[fileIndex].Id,Path: fileList[fileIndex].Path, PS: ps})
+        } else {
+          cornerstoneTools.annotation.state.removeAnnotation(annotation.annotationUID)
+          return
         }
       }
+      
       const params = {
         id: '',
         visitTaskId: this.viewportInfos[i].taskInfo.VisitTaskId,
@@ -841,8 +937,14 @@ export default {
       const res = await addNoneDicomMark(params)
       annotation.annotationId = res.Result
       
+      const renderingEngine = getRenderingEngine(renderingEngineId)
+      const viewport = renderingEngine.getViewport(`canvas-${this.activeCanvasIndex}`)
+      viewport.render()
       // 保存成功
       // this.$message.success(this.$t('common:message:savedSuccessfully'))
+    },
+    calculateCachedStats(imageId) {
+
     },
     getLengthToolTextLines(data, targetId) {
       const cachedVolumeStats = data.cachedStats[targetId]
@@ -850,12 +952,96 @@ export default {
       if (length === undefined || length === null || isNaN(length)) {
         return
       }
-      if (data.handles.scale === undefined || data.handles.scale === null || isNaN(data.handles.scale)) {
+      if (data.l === undefined || data.l === null || isNaN(data.l)) {
         return
       }
       const textLines = []
-      textLines.push(`${csUtils.roundNumber(length)} ${unit}`)
-      textLines.push(`${csUtils.roundNumber(data.handles.scale)} mm`)
+      textLines.push(`P: ${parseFloat(length).toFixed(this.digitPlaces)} ${unit}`)
+      if (data.l) {
+        textLines.push(`L: ${parseFloat(data.l).toFixed(this.digitPlaces)} mm`)
+        textLines.push(`PS: ${parseFloat(data.l / length).toFixed(this.digitPlaces)} mm/px`)
+      }
+      return textLines;
+    },
+    getPlanarFreehandROIToolTextLines(data, targetId) {
+      const cachedVolumeStats = data.cachedStats[targetId];
+      const {
+        area,
+        mean,
+        stdDev,
+        length,
+        perimeter,
+        max,
+        isEmptyArea,
+        unit,
+        areaUnit,
+        modalityUnit,
+      } = cachedVolumeStats || {};
+
+      const textLines = [];
+      let ps = null
+      let path = targetId.split(`web:${this.OSSclientConfig.basePath}`)[1]
+      let i = this.psArr.findIndex(i=>i.Path === path)
+      if (i > -1 && this.psArr[i].PS) {
+        ps = parseFloat(this.psArr[i].PS).toFixed(3)
+      }
+      if (area) {
+        const areaLine = isEmptyArea
+          ? `Area: Oblique not supported`
+          : `Area: ${ps ? parseFloat(area * ps).toFixed(this.digitPlaces) : parseFloat(area).toFixed(this.digitPlaces)} ${ps ? 'mm' + '\xb2' : areaUnit}`;
+        textLines.push(areaLine);
+      }
+      if (mean) {
+        textLines.push(`Mean: ${parseFloat(mean).toFixed(this.digitPlaces)} ${modalityUnit}`);
+      }
+
+      if (Number.isFinite(max)) {
+        textLines.push(`Max: ${csUtils.roundNumber(max)} ${modalityUnit}`);
+      }
+
+      if (stdDev) {
+        textLines.push(`Std Dev: ${csUtils.roundNumber(stdDev)} ${modalityUnit}`);
+      }
+
+      if (perimeter) {
+        if (ps) {
+          textLines.push(`Perimeter: ${ parseFloat(perimeter * ps).toFixed(this.digitPlaces) } mm`);
+        } else {
+          textLines.push(`Perimeter: ${ parseFloat(perimeter).toFixed(this.digitPlaces) } ${unit}`);
+        }
+      }
+
+      // if (length) {
+      //   // No need to show length prefix as there is just the single value
+      //   textLines.push(`${csUtils.roundNumber(length)} ${unit}`);
+      // }
+
+      return textLines;
+    },
+    getRectangleROIToolTextLines(data, targetId) {
+      const cachedVolumeStats = data.cachedStats[targetId];
+      const { area, mean, max, stdDev, areaUnit, modalityUnit } = cachedVolumeStats;
+
+      if (mean === undefined) {
+        return;
+      }
+
+      const textLines = [];
+      let ps = null
+      let path = targetId.split(`web:${this.OSSclientConfig.basePath}`)[1]
+      let i = this.psArr.findIndex(i=>i.Path === path)
+      if (i > -1 && this.psArr[i].PS) {
+        ps = parseFloat(this.psArr[i].PS).toFixed(3)
+      }
+      if (ps) {
+        textLines.push(`Area: ${parseFloat(area * ps).toFixed(this.digitPlaces)} ${'mm' + '\xb2'}`);
+      } else {
+        textLines.push(`Area: ${parseFloat(area).toFixed(this.digitPlaces)} ${areaUnit}`);
+      }
+      
+      textLines.push(`Mean: ${csUtils.roundNumber(mean)} ${modalityUnit}`);
+      textLines.push(`Max: ${csUtils.roundNumber(max)} ${modalityUnit}`);
+      textLines.push(`Std Dev: ${csUtils.roundNumber(stdDev)} ${modalityUnit}`);
 
       return textLines;
     },
diff --git a/src/views/trials/trials-panel/reading/visit-review/components/FormItem.vue b/src/views/trials/trials-panel/reading/visit-review/components/FormItem.vue
index be0b450d..61894d45 100644
--- a/src/views/trials/trials-panel/reading/visit-review/components/FormItem.vue
+++ b/src/views/trials/trials-panel/reading/visit-review/components/FormItem.vue
@@ -305,7 +305,7 @@ export default {
       imgVisible: false,
       imageUrl: '',
       urls: [],
-      digitPlaces: null
+      digitPlaces: 2
     }
   },
   watch: {
diff --git a/src/views/trials/trials-panel/reading/visit-review/components/ReadPage.vue b/src/views/trials/trials-panel/reading/visit-review/components/ReadPage.vue
index 85bf6539..897d738b 100644
--- a/src/views/trials/trials-panel/reading/visit-review/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/visit-review/components/ReadPage.vue
@@ -51,10 +51,12 @@
       <file-viewer
         ref="fileViewer"
         :related-study-info="relatedStudyInfo"
+        :psArr="psArr"
         @toggleTaskByViewer="toggleTaskByViewer"
         @toggleTask="toggleTask"
         @toggleImage="toggleImage"
         @previewCD="previewCD"
+        @setPS="setPS"
       />
     </div>
     <!-- 表单 -->
@@ -152,7 +154,8 @@ export default {
       clinicalDataVisible: false,
       isClinicalDataFullscreen: false,
       trialId: '',
-      cdVisitTaskId: ''
+      cdVisitTaskId: '',
+      psArr: []
     }
   },
   computed: {
@@ -249,7 +252,16 @@ export default {
             visitTaskId: visitTaskId
           }
           const res = await getNoneDicomMarkListOutDto(params)
-          this.$set(this.visitTaskList[visitTaskIdx], 'Annotations', res.Result.NoneDicomMarkList)
+          let arr = res.Result.NoneDicomMarkList.map(i=>{
+            if (typeof i.MeasureData === 'string') {
+              i.MeasureData = JSON.parse(i.MeasureData)
+            }
+            if (i.MeasureData.metadata.toolName === 'Length' && this.psArr.findIndex(p=>p.NoneDicomFileId === i.NoneDicomFileId) === -1) {
+              this.psArr.push({NoneDicomFileId: i.NoneDicomFileId, Path: i.Path, PS: i.MeasureData.data.ps})
+            }
+            return i
+          })
+          this.$set(this.visitTaskList[visitTaskIdx], 'Annotations', arr)
           this.loading = false
           resolve()
         } catch (e) {
@@ -259,6 +271,14 @@ export default {
         }
       })
     },
+    setPS(obj) {
+      let i = this.psArr.findIndex(p=>p.NoneDicomFileId === obj.NoneDicomFileId)
+      if (i > -1) {
+        this.psArr[i].PS = obj.PS
+      } else {
+        this.psArr.push(obj)
+      }
+    },
     // 切换任务
     toggleTask(taskInfo) {
       this.setActiveTaskVisitId(taskInfo.VisitTaskId)