diff --git a/src/components/Dicom/DicomCanvas.vue b/src/components/Dicom/DicomCanvas.vue
index 45721380..a82ec638 100644
--- a/src/components/Dicom/DicomCanvas.vue
+++ b/src/components/Dicom/DicomCanvas.vue
@@ -304,7 +304,7 @@ export default {
           cornerstoneTools.addToolForElement(element, Note_RectangleRoiTool, {
             configuration: {
               color: '#f00',
-              lineWidth: 0.5,
+              lineWidth: 2,
               drawHandles: false,
               fillColor: 'rgba(0, 0, 0, 1)',
             },
diff --git a/src/components/Dicom/DicomViewer.vue b/src/components/Dicom/DicomViewer.vue
index 9b916af2..6fa58ec3 100644
--- a/src/components/Dicom/DicomViewer.vue
+++ b/src/components/Dicom/DicomViewer.vue
@@ -9,10 +9,10 @@
       <div class="Anonymous" v-if="isAnonymous">
         <div
           :class="{ btn: true, activeBtn: activeTool === 'Note_RectangleRoi' && !isComparison, isNoted: isComparison }"
-          @click="setToolActive($event, 'Note_RectangleRoi')">{{
+          @click="setToolActive($event, 'Note_RectangleRoi', true)">{{
             $t('DicomViewer:anonymous:Note_RectangleRoi') }}</div>
         <div :class="{ btn: true, activeBtn: activeTool === 'Eraser' && !isComparison, isNoted: isComparison }"
-          @click="setToolActive($event, 'Eraser')">{{
+          @click="setToolActive($event, 'Eraser', true)">{{
             $t('DicomViewer:anonymous:Eraser') }}
         </div>
         <div :class="{ btn: true, isNoted: isComparison }" @click="anonymousImage(false)">{{
@@ -299,7 +299,8 @@
         v-if="type === 'Study' && modality && ['PT、CT', 'CT、PT', 'PET-CT'].includes(modality)">
         <div class="sideTool-title">{{ $t('trials:tab:patientData') }}</div>
         <div class="sideTool-wrapper">
-          <el-form ref="patientForm" size="mini" :model="formData" :rules="rules" label-width="150" v-loading="formLoading">
+          <el-form ref="patientForm" size="mini" :model="formData" :rules="rules" label-width="150"
+            v-loading="formLoading">
             <!-- 性别 -->
             <el-form-item :label="$t('trials:ptData:label:patientSex')" prop="PatientSex">
               <el-select v-model="formData.PatientSex" :placeholder="$t('common:ruleMessage:select')"
@@ -401,10 +402,10 @@ export default {
       handler(v) {
         if (v) {
           if (this.type === 'Study' && ['PT、CT', 'CT、PT', 'PET-CT'].includes(v)) {
-            this.$nextTick(()=>{
+            this.$nextTick(() => {
               this.getPatientInfo()
             })
-          } 
+          }
         }
       }
     }
@@ -641,7 +642,7 @@ export default {
           })
         })
         let res = await this.studyMaskImage(data)
-        if (!res) return false
+        if (!res || res.length <= 0) return false
         this.$emit("update:loading", true)
         if (!isAll) {
           let strs = image.imageId.split("?")
@@ -839,8 +840,25 @@ export default {
         }
       })
     },
-    setToolActive(e, toolName) {
+    setToolActive(e, toolName, isNotSetClassName = false) {
       const elements = document.querySelectorAll('.dicom-item')
+      if (isNotSetClassName) {
+        const scope = this
+        if (scope.activeTool) {
+          Array.from(elements).forEach((element, index) => {
+            if (element.style.display !== 'none') {
+              scope.$refs[`dicomCanvas${index}`].setToolPassive(scope.activeTool)
+            }
+          })
+        }
+        if (scope.activeTool === toolName) return scope.activeTool = null
+        scope.activeTool = toolName
+        return Array.from(elements).forEach((element, index) => {
+          if (element.style.display !== 'none') {
+            scope.$refs[`dicomCanvas${index}`].setToolActive(toolName)
+          }
+        })
+      }
       if (e.currentTarget.classList.contains('activeTool')) {
         e.currentTarget.classList.remove('activeTool')
         const scope = this
@@ -1020,7 +1038,7 @@ export default {
       try {
         this.formLoading = true
         let studyId = this.$route.query.studyId
-        let res = await getPatientInfo({studyId: studyId})
+        let res = await getPatientInfo({ studyId: studyId })
         this.formData = {
           Id: res.Result.Id || '',
           PatientSex: res.Result.PatientSex || '',
@@ -1035,7 +1053,7 @@ export default {
         // 缓存 PT 临床数据：用于 2D SUV 计算时优先使用接口/人工录入值
         this.cachePtClinicalDataToInstances()
         this.formLoading = false
-      } catch(e) {
+      } catch (e) {
         this.formLoading = false
         console.log(e)
       }
@@ -1161,6 +1179,7 @@ export default {
     cursor: pointer;
     padding: 5px 10px;
     border: 1px solid rgba(255, 255, 255, .7);
+    color: #000;
 
     &:hover {
       background-color: rgba(255, 255, 255, .5);
@@ -1168,7 +1187,8 @@ export default {
   }
 
   .activeBtn {
-    background-color: rgba(255, 255, 255, .5);
+    background-color: #16477b90;
+    color: #fff;
   }
 
   .isNoted {