diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeQuestionFormItem.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeQuestionFormItem.vue
index c4882f0d..8889bae9 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeQuestionFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeQuestionFormItem.vue
@@ -456,7 +456,7 @@ export default {
       deep: true,
       immediate: true,
       handler(v, oldv) {
-        console.log(v)
+        // console.log(v)
       }
     }
   },
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
index 947ac205..f1bcdfaf 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
@@ -209,7 +209,15 @@
             >
               <svg-icon :icon-class="tool.icon" class="svg-icon" />
             </div>
-
+            <!-- 清除标注 -->
+            <div
+              v-if="criterionType === 0"
+              :class="['tool-item', activeTool === 'Eraser' ? 'tool-item-active' : '']"
+              :title="$t('trials:dicom-show:Eraser')"
+              @click.prevent="setToolActive('Eraser')"
+            >
+              <svg-icon icon-class="clear" class="svg-icon" />
+            </div>
             <div class="tool-frame">
               <!-- 第一帧 -->
               <div :title="$t('trials:dicom-show:firstframe')" class="icon" @click.prevent="scrollPage(0)">
@@ -356,7 +364,7 @@
               <customize-question-list
                 v-else-if="lastViewportTaskId && criterionType === 0 && lastViewportTaskIds.includes(s.VisitTaskId)"
                 :ref="`ecrf_${s.VisitTaskId}`"
-                :reading-task-state="currentVisitInfo.VisitTaskId === taskInfo.VisitTaskId ? readingTaskState : 2"
+                :reading-task-state="taskInfo && currentVisitInfo.VisitTaskId === taskInfo.VisitTaskId ? readingTaskState : 2"
                 :last-viewport-task-id="lastViewportTaskId"
                 :visit-info="s"
                 @resetAnnotations="resetAnnotations"
@@ -454,7 +462,7 @@
   </div>
 </template>
 <script>
-import { getRelatedVisitTask, getReadingVisitStudyList, getTableAnswerRowInfoList } from '@/api/trials'
+import { getRelatedVisitTask, getReadingVisitStudyList, getTableAnswerRowInfoList, deleteCustomTag } from '@/api/trials'
 import { getDoctorShortcutKey, getUserWLTemplateList } from '@/api/user'
 import { getCustomTag, submitCustomTag } from '@/api/reading'
 import {
@@ -977,27 +985,15 @@ export default {
         toolGroup.addTool(WindowLevelTool.toolName)
         toolGroup.addTool(WindowLevelRegionTool.toolName)
         toolGroup.addTool(PlanarRotateTool.toolName)
-        if (this.criterionType === 0) {
-          toolGroup.addTool(ArrowAnnotateTool.toolName, {
-            arrowHeadStyle: 'standard',
-            changeTextCallback: async(data, eventData, doneChangingTextCallback) => {
-              return doneChangingTextCallback(await this.customPrompt())
-            },
-            getTextCallback: async(doneChangingTextCallback) => {
-              return doneChangingTextCallback(await this.customPrompt())
-            }
-          })
-        } else {
-          toolGroup.addTool(ArrowAnnotateTool.toolName, {
-            arrowHeadStyle: 'standard',
-            changeTextCallback: async(data, eventData, doneChangingTextCallback) => {
-              return doneChangingTextCallback(data.text)
-            },
-            getTextCallback: async(doneChangingTextCallback) => {
-              return doneChangingTextCallback('_')
-            }
-          })
-        }
+        toolGroup.addTool(ArrowAnnotateTool.toolName, {
+          arrowHeadStyle: 'standard',
+          changeTextCallback: async(data, eventData, doneChangingTextCallback) => {
+            return doneChangingTextCallback(data.text)
+          },
+          getTextCallback: async(doneChangingTextCallback) => {
+            return doneChangingTextCallback('_')
+          }
+        })
         toolGroup.addTool(RectangleROITool.toolName, {
           cachedStats: false,
           getTextLines: this.getRectangleROIToolTextLines
@@ -1045,7 +1041,7 @@ export default {
       })
 
       eventTarget.addEventListener('cornerstoneimageloadprogress', this.imageLoadProgress)
-      console.log(Events)
+      console.log(Events, toolsEvents)
     },
     // 影像下载进度回调
     imageLoadProgress(e) {
@@ -1106,7 +1102,6 @@ export default {
       // })
     },
     renderAnnotations(series) {
-      console.log('renderAnnotations')
       const taskId = series.TaskInfo.VisitTaskId
       if (!taskId || this.renderedTaskIds.includes(taskId)) return
       this.renderedTaskIds.push(taskId)
@@ -1228,8 +1223,12 @@ export default {
         annotation.markTool = annotation.metadata.toolName
         this.markedSeriesIds.push(series.Id)
         const markName = await this.customPrompt()
+
         if (markName) {
           annotation.data.label = markName
+          if (annotation.metadata.toolName === 'ArrowAnnotate') {
+            annotation.data.text = markName
+          }
           this.saveCustomAnnotation(annotation)
         } else {
           this.removeAnnotation(annotation)
@@ -1238,6 +1237,11 @@ export default {
 
       this.setToolsPassive()
     },
+    validMarkName(markName) {
+      const annotations = cornerstoneTools.annotation.state.getAllAnnotations()
+      const i = annotations.findIndex(i => i.visitTaskId === this.taskInfo.VisitTaskId && i.data.label === markName)
+      return i > -1
+    },
     async saveCustomAnnotation(annotation) {
       try {
         const measureData = Object.assign({}, annotation)
@@ -1251,7 +1255,6 @@ export default {
         params.NumberOfFrames = annotation.numberOfFrames
         const res = await submitCustomTag(params)
         annotation.id = res.Result
-        console.log(res)
       } catch (e) {
         console.log(e)
       }
@@ -1269,14 +1272,41 @@ export default {
       }
       this.setToolsPassive()
     },
-    customAnnotationRemovedListener(e) {
+    async customAnnotationRemovedListener(e) {
       if (this.readingTaskState === 2) return
       const { annotation } = e.detail
       if (!annotation) return
       if (annotation.visitTaskId === this.taskInfo.VisitTaskId && annotation.seriesId) {
-        const index = this.markedSeriesIds.indexOf(annotation.seriesId)
-        if (index !== -1) {
-          this.markedSeriesIds.splice(index, 1)
+        try {
+          if (this.activeTool === 'Eraser') {
+            await this.$confirm(
+              this.$t('trials:trials-list:table:isDeleted') +
+              annotation.data.label +
+              '?'
+            )
+            if (annotation.id) {
+              deleteCustomTag(annotation.id)
+            }
+          }
+          const index = this.markedSeriesIds.indexOf(annotation.seriesId)
+          if (index !== -1) {
+            this.markedSeriesIds.splice(index, 1)
+          }
+          const renderingEngine = getRenderingEngine(renderingEngineId)
+          for (let i = 0; i < this.cells.length; i++) {
+            const viewportId = `viewport-${i}`
+            const viewport = renderingEngine.getViewport(viewportId)
+            viewport.render()
+          }
+        } catch (e) {
+          cornerstoneTools.annotation.state.addAnnotation(annotation)
+          const renderingEngine = getRenderingEngine(renderingEngineId)
+          for (let i = 0; i < this.cells.length; i++) {
+            const viewportId = `viewport-${i}`
+            const viewport = renderingEngine.getViewport(viewportId)
+            viewport.render()
+          }
+          console.log(e)
         }
       }
     },
@@ -2291,11 +2321,28 @@ export default {
       }
       return params
     },
-    // 箭头工具输入标记名称自定义弹窗
+    // 输入标记名称自定义弹窗
     async customPrompt() {
       try {
+        const that = this
         // 请输入标记名称
-        const { value } = await this.$prompt(this.$t('trials:noneDicom:message:msg1'))
+        const { value } = await this.$prompt(this.$t('trials:noneDicom:message:msg1'), '', {
+          showClose: false,
+          beforeClose: (action, instance, done) => {
+            if (action === 'confirm') {
+              const value = instance.inputValue
+              if (!value) {
+                that.$message.error(this.$t('trials:customReading:error:validMarkName1'))
+              } else if (this.validMarkName(value)) {
+                that.$message.error(this.$t('trials:customReading:error:validMarkName'))
+              } else {
+                done()
+              }
+            } else {
+              done()
+            }
+          }
+        })
         return value
       } catch {
         return null