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 5b13de71..9a90d9a3 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
@@ -272,7 +272,7 @@
   </el-form>
 </template>
 <script>
-import { submitTableQuestion, deleteReadingRowAnswer, getIsSuvMaxLesion } from '@/api/trials'
+import { submitTableQuestion, deleteReadingRowAnswer, getIsSuvMaxLesionNoPet } from '@/api/trials'
 // import { uploadPrintscreen } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
@@ -1737,7 +1737,7 @@ export default {
       // 判断该病灶的suvmax是否是最大的
       const suvMax = this.getQuestionVal(20)
       if (this.questionForm.RowId && !!suvMax) {
-        const res = await getIsSuvMaxLesion({ visitTaskId: this.visitTaskId, rowId: this.questionForm.RowId })
+        const res = await getIsSuvMaxLesionNoPet({ visitTaskId: this.visitTaskId, rowId: this.questionForm.RowId })
         if (res.IsSuccess && res.Result.IsSuvMaxLesion) {
           message = this.$t('trials:reading:warnning:msg58')
         }
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionList.vue
index 97eeacd3..94e0ecfc 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionList.vue
@@ -225,7 +225,7 @@
   </div>
 </template>
 <script>
-import { splitLesion, getSplitPPdSum, getCanMergeLesion, mergeLesion } from '@/api/trials'
+import { splitLesion, getSplitPPdSumNoPet, getCanMergeLesion, mergeLesion } from '@/api/trials'
 import { resetReadingTask } from '@/api/reading'
 import DicomEvent from './../DicomEvent'
 import store from '@/store'
@@ -343,7 +343,7 @@ export default {
       })
     })
     DicomEvent.$on('refreshSplitTargetLesionPDD', async(callback) => {
-      const res = await getSplitPPdSum({ visitTaskId: this.visitTaskId })
+      const res = await getSplitPPdSumNoPet({ visitTaskId: this.visitTaskId })
       this.splitTargetLesions = res.Result
       if (this.splitTargetLesions && this.splitTargetLesions.length > 0) {
         this.splitTargetLesions.map(i => {
@@ -397,7 +397,7 @@ export default {
           loading.close()
         }
         if (!this.isBaseLineTask) {
-          const res = await getSplitPPdSum({ visitTaskId: this.visitTaskId })
+          const res = await getSplitPPdSumNoPet({ visitTaskId: this.visitTaskId })
           this.splitTargetLesions = res.Result
         }
         this.questions = this.visitTaskList[i].ReadingQuestions
@@ -540,7 +540,7 @@ export default {
               this.isCurrentTask = this.visitTaskList[idx].IsCurrentTask
             }
             if (!this.isBaseLineTask) {
-              const res = await getSplitPPdSum({ visitTaskId: this.visitTaskId })
+              const res = await getSplitPPdSumNoPet({ visitTaskId: this.visitTaskId })
               this.splitTargetLesions = res.Result
             }
             this.getTableQuestions()
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue b/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
index 765505d2..a465a15a 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Questions.vue
@@ -1,27 +1,17 @@
 <template>
   <div v-loading="loading" class="ecrf-wrapper">
-    <el-form
-      v-if="questions.length > 0"
-      ref="questions"
-      size="small"
-      :model="questionForm"
-    >
-      <QuestionItem
-        v-for="question of questions"
-        :key="question.Id"
-        :question="question"
-        :question-form="questionForm"
-        :reading-task-state="readingTaskState"
-        :is-first-change-task="isFirstChangeTask"
-        :visit-task-id="visitTaskId"
-        @setFormItemData="setFormItemData"
-        @resetFormItemData="resetFormItemData"
-      />
+    <el-form v-if="questions.length > 0" ref="questions" size="small" :model="questionForm">
+      <QuestionItem v-for="question of questions" :key="question.Id" :question="question" :question-form="questionForm"
+        :reading-task-state="readingTaskState" :is-first-change-task="isFirstChangeTask" :visit-task-id="visitTaskId"
+        @setFormItemData="setFormItemData" @resetFormItemData="resetFormItemData" />
 
       <el-form-item v-if="readingTaskState < 2 && !isFirstChangeTask">
         <div class="ecrf-footer">
-          <i v-if="groupClassify === null || groupClassify === 1" class="el-icon-warning feedback-icon" @click="openFeedBackTable" :style="{color: isExistUnprocessedFeedback ? '#ffeb3b' : '#fff'}"/>
-          <el-button size="mini" :disabled="!questionFormChangeState || (!formChanged && groupClassify > 0)" :type="questionFormChangeState || (!formChanged && groupClassify > 0) ? 'primary' : null" @click="handleSave">{{ $t('common:button:save') }}</el-button>
+          <i v-if="groupClassify === null || groupClassify === 1" class="el-icon-warning feedback-icon"
+            @click="openFeedBackTable" :style="{ color: isExistUnprocessedFeedback ? '#ffeb3b' : '#fff' }" />
+          <el-button size="mini" :disabled="!questionFormChangeState || (!formChanged && groupClassify > 0)"
+            :type="questionFormChangeState || (!formChanged && groupClassify > 0) ? 'primary' : null"
+            @click="handleSave">{{ $t('common:button:save') }}</el-button>
         </div>
       </el-form-item>
     </el-form>
@@ -31,7 +21,7 @@
 
 <script>
 // import { uploadPrintscreen } from '@/api/reading'
-import { saveTaskQuestion, getSplenicState, getSplenicVerify, getCanChooseNotMerge, getDicomReadingQuestionAnswer } from '@/api/trials'
+import { saveTaskQuestion, getSplenicState, getSplenicStateNoPet, getSplenicVerify, getSplenicVerifyNoPet, getCanChooseNotMerge, getCanChooseNotMergeNoPet, getDicomReadingQuestionAnswer } from '@/api/trials'
 import { setSkipReadingCache } from '@/api/reading'
 import QuestionItem from './QuestionItem'
 import DicomEvent from './DicomEvent'
@@ -169,8 +159,14 @@ export default {
             this.measurements.push(i)
           })
           if (isChangeVisitTask || isRefresh) {
-            const { Result } = await getSplenicVerify(visitTaskId)
-            this.spleenInfo = Result
+            if (this.criterionType === 18) {
+              const { Result } = await getSplenicVerifyNoPet(visitTaskId)
+              this.spleenInfo = Result
+            } else {
+              const { Result } = await getSplenicVerify(visitTaskId)
+              this.spleenInfo = Result
+            }
+
           }
         }
 
@@ -271,10 +267,10 @@ export default {
     },
 
     handleSave() {
-      this.$refs['questions'].validate(async(valid) => {
+      this.$refs['questions'].validate(async (valid) => {
         if (!valid) return
         // lugano标准校验脾脏状态是否符合要求
-        if (this.criterionType === 2 && this.groupClassify === 3) {
+        if ((this.criterionType === 2 || this.criterionType === 18) && this.groupClassify === 3) {
           // 是否有标记未保存
           var existUnSave = this.checkAnnotationStatus(this.questions)
           if (existUnSave) {
@@ -291,28 +287,34 @@ export default {
           if (currentSpleenLength && currentSpleenStatus === 5) {
             // '脾脏状态为不可评估，不需要添加标记!'
             this.$alert(this.$t('trials:lugano:message:validSpleen1'), this.$t('trials:lugano:fusionDialog:warning'), {
-              callback: _ => {}
+              callback: _ => { }
             })
           } else if (currentSpleenStatus === 5 && ((stIdx > -1 && this.measurements[stIdx].MeasureData) || (slIdx > -1 && this.measurements[slIdx].MeasureData))) {
             // 若有标记，状态不可为“无法评估”
             this.$alert(this.$t('trials:lugano:message:validSpleen1'), this.$t('trials:lugano:fusionDialog:warning'), {
-              callback: _ => {}
+              callback: _ => { }
             })
           } else if (((stIdx > -1 && this.measurements[stIdx].MeasureData) || (slIdx > -1 && this.measurements[slIdx].MeasureData)) && !currentSpleenLength) {
             this.$alert(this.$t('trials:lugano:message:validSpleen2'), this.$t('trials:lugano:fusionDialog:warning'), {
-              callback: _ => {}
+              callback: _ => { }
             })
           } else {
             this.saveQuestionsList()
           }
-        } else if (this.criterionType === 2 && this.groupClassify === 1 && this.questionForm[this.imageQualityIssuesId] && parseInt(this.questionForm[this.imageQualityIssuesId]) === 6) {
+        } else if ((this.criterionType === 2 || this.criterionType === 18) && this.groupClassify === 1 && this.questionForm[this.imageQualityIssuesId] && parseInt(this.questionForm[this.imageQualityIssuesId]) === 6) {
           // 保存影响质量问题分组，如果质量问题为PET-CT影像无法融合则验证是否可以保存
-          const res = await getCanChooseNotMerge({ visitTaskId: this.visitTaskId })
+          let res = null
+          if (this.criterionType === 18) {
+            res = await getCanChooseNotMergeNoPet({ visitTaskId: this.visitTaskId })
+          } else {
+            res = await getCanChooseNotMerge({ visitTaskId: this.visitTaskId })
+          }
+
           if (res.IsSuccess && !res.Result.IsCanChooseNotMerge) {
             // this.$alert(this.$t('trials:lugano:saveQuestions:warning1'), this.$t('trials:lugano:fusionDialog:warning'), {showCancelButton: false})
             this.$alert(this.$t('trials:lugano:saveQuestions:warning1'), this.$t('trials:lugano:fusionDialog:warning'), {
               showCancelButton: false,
-              callback: action => {}
+              callback: action => { }
             })
             return
           } else {
@@ -377,7 +379,7 @@ export default {
         // DicomEvent.$emit('readingPageUpdate', {})
         var idx = this.visitTaskList.findIndex(i => i.VisitTaskId === this.visitTaskId)
         const criterionType = parseInt(localStorage.getItem('CriterionType'))
-        if (idx > -1 && !this.visitTaskList[idx].IsBaseLineTask && (criterionType === 1 || criterionType === 2 || criterionType === 3 || criterionType === 17)) {
+        if (idx > -1 && !this.visitTaskList[idx].IsBaseLineTask && (criterionType === 1 || criterionType === 2 || criterionType === 18 || criterionType === 3 || criterionType === 17)) {
           if (parseInt(imageQuality) === 2) {
             this.$confirm(this.$t('trials:reading:warnning:unableEvaluate'), '', {
               type: 'warning'
@@ -441,7 +443,12 @@ export default {
       try {
         var spleenLength = this.questionForm[this.spleenLengthId]
         spleenLength = isNaN(parseFloat(spleenLength)) ? -1 : parseFloat(spleenLength)
-        const result = await getSplenicState(this.visitTaskId, spleenLength)
+        let result = null
+        if (this.criterionType === 18) {
+          result = await getSplenicStateNoPet(this.visitTaskId, spleenLength)
+        } else {
+          result = await getSplenicState(this.visitTaskId, spleenLength)
+        }
         return { isSuccess: true, result: result.Result }
       } catch (e) {
         return { isSuccess: false, result: e }
@@ -538,7 +545,7 @@ export default {
       if (!chenckVaild) {
         // 校验标记是否在同一序列的不同图像上
         this.$alert(this.$t('trials:lugano:message:validSpleen3'), this.$t('trials:lugano:fusionDialog:warning'), {
-          callback: _ => {}
+          callback: _ => { }
         })
         return
       }
@@ -820,7 +827,7 @@ export default {
         type: 'imgfail',
         trialId: this.$route.query.trialId,
         visitTaskId: this.visitTaskId,
-        callBack: async() => {
+        callBack: async () => {
           console.log('callBack')
           const confirm = await this.$confirm(
             this.$t('trials:reading:confirm:feedbackmsg'),
@@ -856,55 +863,61 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
-  .ecrf-wrapper{
-    ::v-deep .el-form-item__label{
-      color: #c3c3c3;
-      text-align: left;
-    }
-    ::v-deep .el-input__inner{
-      background-color: transparent;
-      color: #ddd;
-      border: 1px solid #5e5e5e;
-    }
-    ::v-deep .el-textarea__inner{
-      background-color: transparent;
-      color: #ddd;
-      border: 1px solid #5e5e5e;
-    }
+.ecrf-wrapper {
+  ::v-deep .el-form-item__label {
+    color: #c3c3c3;
+    text-align: left;
+  }
 
-    ::v-deep .el-form-item{
-      display: flex;
-      flex-direction: row;
-      justify-content: flex-start;
-      flex-wrap: wrap;
-    }
-    ::v-deep .el-form-item__content{
-      flex: 1;
-    }
-    ::v-deep .el-button--mini, .el-button--mini.is-round {
+  ::v-deep .el-input__inner {
+    background-color: transparent;
+    color: #ddd;
+    border: 1px solid #5e5e5e;
+  }
+
+  ::v-deep .el-textarea__inner {
+    background-color: transparent;
+    color: #ddd;
+    border: 1px solid #5e5e5e;
+  }
+
+  ::v-deep .el-form-item {
+    display: flex;
+    flex-direction: row;
+    justify-content: flex-start;
+    flex-wrap: wrap;
+  }
+
+  ::v-deep .el-form-item__content {
+    flex: 1;
+  }
+
+  ::v-deep .el-button--mini,
+  .el-button--mini.is-round {
     padding: 7px 10px;
   }
-    ::v-deep .el-form-item__content
-    .el-select{
-      width: 100%;
-    }
-    .ecrf-footer{
-      display: flex;
-      flex-direction: row;
-      justify-content: flex-end;
-      align-items: center;
-      .feedback-icon{
-        padding: 0 10px;
-        color: #fff;
-        font-weight: 400;
-        font-size: 22px;
-        cursor: pointer;
-        &:hover{
-          color: #68a2d5;
-        }
+
+  ::v-deep .el-form-item__content .el-select {
+    width: 100%;
+  }
+
+  .ecrf-footer {
+    display: flex;
+    flex-direction: row;
+    justify-content: flex-end;
+    align-items: center;
+
+    .feedback-icon {
+      padding: 0 10px;
+      color: #fff;
+      font-weight: 400;
+      font-size: 22px;
+      cursor: pointer;
+
+      &:hover {
+        color: #68a2d5;
       }
     }
   }
-
-  </style>
-
+}
+</style>