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 1f3bfe5b..c1badfd8 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
@@ -1118,7 +1118,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionShort < 10)))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1292,7 +1292,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionShort < 10)))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
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 2d35316b..ce9b71e6 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
@@ -1389,9 +1389,9 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionLength < 15)))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
-              this.$confirm(this.$t('trials:reading:warnning:msg37'), {
+              this.$confirm(this.$t('trials:reading:warnning:lgmsg37'), {
                 type: 'warning',
                 showCancelButton: false,
                 callback: action => { }
@@ -1505,9 +1505,9 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionLength < 15)))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
-              this.$confirm(this.$t('trials:reading:warnning:msg45'), {
+              this.$confirm(this.$t('trials:reading:warnning:lgmsg45'), {
                 type: 'warning',
                 showCancelButton: false,
                 callback: action => { }
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
index 2d35316b..ce9b71e6 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
@@ -1389,9 +1389,9 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionLength < 15)))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
-              this.$confirm(this.$t('trials:reading:warnning:msg37'), {
+              this.$confirm(this.$t('trials:reading:warnning:lgmsg37'), {
                 type: 'warning',
                 showCancelButton: false,
                 callback: action => { }
@@ -1505,9 +1505,9 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionLength < 15)))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
-              this.$confirm(this.$t('trials:reading:warnning:msg45'), {
+              this.$confirm(this.$t('trials:reading:warnning:lgmsg45'), {
                 type: 'warning',
                 showCancelButton: false,
                 callback: action => { }
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 8afa776a..27e52181 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
@@ -1068,7 +1068,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionShort < 10)))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1184,7 +1184,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || (measureData.type === 'Bidirectional' && lesionShort < 10)))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
index 8640080a..13bf30bf 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
@@ -1126,7 +1126,7 @@ export default {
           if (lesionType === 1 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || (measureData.markTool === 'Bidirectional' && lesionShort < 10)))) {
                 // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                   type: 'warning',
@@ -1242,7 +1242,7 @@ export default {
           if (lesionType === 2 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || (measureData.markTool === 'Bidirectional' && lesionShort < 10)))) {
                 // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                   type: 'warning',