diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/PetCt.vue b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/PetCt.vue
index 8dea8a6d..dd7c24a3 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/PetCt.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/PetCt.vue
@@ -776,7 +776,7 @@ export default {
         // }
       }, 120)
       eventTarget.addEventListener(cornerstoneTools.Enums.Events.ANNOTATION_MODIFIED, (e) => {
-        console.log('ANNOTATION_MODIFIED')
+        // console.log('ANNOTATION_MODIFIED')
         debouncedCallback(e)
       })
       eventTarget.addEventListener(cornerstoneTools.Enums.Events.ANNOTATION_SELECTION_CHANGE, (e) => {
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
index be54c48b..e9aa831d 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/Questions.vue
@@ -454,11 +454,14 @@ export default {
         }
         if (measurement.type === 'CircleROI') {
           const suvMax = measurement.suvMax
-          this.$set(this.questionForm, obj.QuestionId, suvMax || null)
-          var pet5PS = this.setpet5PS()
-          this.questionForm[this.pet5PSId] = pet5PS
-          this.calculatePet5PS = pet5PS
-          this.setPet5PSCommentDisplay()
+          
+          if(this.questionForm[obj.QuestionId] !== suvMax){
+            var pet5PS = this.setpet5PS()
+            this.questionForm[this.pet5PSId] = pet5PS
+            this.calculatePet5PS = pet5PS
+            this.setPet5PSCommentDisplay()
+            this.$set(this.questionForm, obj.QuestionId, suvMax || null)
+          }
         }
         FusionEvent.$emit('addOrUpdateAnnotations', { data })
         this.questionFormChangeState = true
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestionItem.vue b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestionItem.vue
index d23dc4c2..111993b8 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestionItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Fusion/TableQuestionItem.vue
@@ -624,7 +624,8 @@ export default {
                   }
                 }
               }
-              if (this.firstRenderAnnotation) {
+              var lesionState = this.getQuestionVal(7)
+              if (this.firstRenderAnnotation && !isNaN(parseInt(lesionState))) {
                 this.$set(this.questionForm, 'saveTypeEnum', 2)
               } else {
                 this.$set(this.questionForm, 'saveTypeEnum', 1)