diff --git a/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue b/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
index 0b3a2c09..0f619110 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
@@ -891,8 +891,11 @@ export default {
     })
     DicomEvent.$on('getScreenshots', async(measuredData, callback) => {
       if (this.currentDicomCanvasIndex > -1) {
-        if (!measuredData) return
         await this.imageLocation(measuredData)
+        if (!measuredData.isMarked) {
+          callback()
+          return
+        }
         setTimeout(async() => {
           // var base64Str = this.$refs[`dicomCanvas${this.currentDicomCanvasIndex}`][0].getScreenshots()
           const divForDownloadViewport = document.querySelector(
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
index 624016e5..851d3408 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
@@ -1957,7 +1957,7 @@ export default {
           }
         }
 
-        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
+        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType, isMarked: !!measureData }, async val => {
           // 靶病灶状态为0（存在）时，一定存在长径或者长短径（长径、十字线 ）
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
index 2ed456cf..ee19cd9b 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
@@ -1669,7 +1669,7 @@ export default {
             }
           }
         }
-        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
+        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType, isMarked: !!measureData }, async val => {
           // 靶病灶状态为0（存在）时，一定存在长径或者长短径（长径、十字线 ）
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/PCWG/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/PCWG/QuestionForm.vue
index be980aff..d002ae92 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/PCWG/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/PCWG/QuestionForm.vue
@@ -690,7 +690,7 @@ export default {
           }
         }
         const loading = this.$loading({ fullscreen: true })
-        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
+        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType, isMarked: !!measureData }, async val => {
           var picturePath = ''
           if (val && measureData) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
index dcc86e2b..ec14d2bc 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
@@ -1319,7 +1319,7 @@ export default {
           }
         }
 
-        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
+        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType, isMarked: !!measureData }, async val => {
           // 靶病灶状态为0（存在）时，一定存在长径或者长短径（长径、十字线 ）
           // 普通靶病灶：长径大于10mm且不小于2倍层厚（基线校验）
           // 淋巴结靶病灶：短径大于15mm且不小于2倍层厚（基线校验）
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionForm.vue
index 2e104760..eb74a357 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/RecistBM/QuestionForm.vue
@@ -970,7 +970,7 @@ export default {
           }
         }
 
-        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType }, async val => {
+        DicomEvent.$emit('getScreenshots', { questionId: this.parentQsId, rowIndex: this.questionForm.RowIndex, visitTaskId: this.visitTaskId, lesionName: this.lesionMark, lesionType: this.lesionType, isMarked: !!measureData }, async val => {
           var picturePath = ''
           if (val && measureData && this.questionForm.IsDicomReading) {
             var pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, val)