diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
index 7007ff78..df3e2b38 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
@@ -590,6 +590,7 @@ export default {
           // 如果不是当前窗口绑定的标记如何处理？
           this.setAnswerToQuestion(v)
         } else {
+          console.log(v)
           if (v.length === 1) {
             const { parentQsId, rowId } = v[0]
             if (!parentQsId && !rowId) return
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
index f62b3a33..a1ca3eb7 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
@@ -129,6 +129,7 @@ export default {
       imageToolAttribute: '',
       questionsMarkStatus: {},
       digitPlaces: 2,
+      questionImageToolAttributeInfo: {}
     }
   },
   mounted() {
@@ -165,6 +166,9 @@ export default {
             }
             if (v.Type === 'number') {
               this.$set(this.questionForm, v.Id, v.Answer === '' ? '' : parseFloat(v.Answer).toFixed(this.digitPlaces))
+              if (v.ImageToolAttribute) {
+                this.$set(this.questionImageToolAttributeInfo, v.Id, v.ImageToolAttribute)
+              }
             }
             if (v.Childrens.length > 0) {
               this.setChild(v.Childrens)
@@ -213,6 +217,9 @@ export default {
         }
         if (i.Type === 'number') {
           this.$set(this.questionForm, i.Id, i.Answer === '' ? '' : parseFloat(i.Answer).toFixed(this.digitPlaces))
+          if (i.ImageToolAttribute) {
+            this.$set(this.questionImageToolAttributeInfo, i.Id, i.ImageToolAttribute)
+          }
         }
         if (i.Childrens && i.Childrens.length > 0) {
           this.setChild(i.Childrens)
@@ -627,11 +634,10 @@ export default {
       try {
         let annotation = null
         if (!this.operateRowId && obj.rowId && obj.question.ParentQsId) {
+          this.operateRowId = obj.rowId
           this.updateQuestionsMarkStatus(obj)
-          annotation = this.getAnnotationByRow(obj.rowId)
-        } else if (this.operateRowId && this.operateQuestionId) {
-          annotation = this.getAnnotationByRow(this.operateRowId)
         }
+        annotation = this.getAnnotationByRow(this.operateRowId)
         // 截图上传
         let picturePath = ''
         if (annotation) {
@@ -684,7 +690,6 @@ export default {
       return this.questionMarkInfoList.findIndex(i => i.QuestionId === Id)
     },
     updateQuestionsMarkStatus(obj) {
-      this.operateRowId = obj.rowId
       this.questionMarkInfoList.forEach(item => {
         if (item.QuestionId === obj.question.ParentQsId && !item.RowId) {
           item.RowId = obj.rowId
@@ -872,11 +877,17 @@ export default {
     },
     setAnswerToQuestion(annotation, questionId) {
       if (!questionId || !annotation) return
-      let val = this.getAnnotationProp(annotation, this.imageToolAttribute)
+      let prop = ''
+      if (!this.imageToolAttribute) {
+        prop = this.questionImageToolAttributeInfo[questionId]
+      } else {
+        prop = this.imageToolAttribute
+      }
+      let val = this.getAnnotationProp(annotation, prop)
       this.$set(this.questionForm, questionId, val)
     },
     getAnnotationProp(annotation, prop) {
-      if (!annotation) return
+      if (!annotation || !prop) return
       const referencedImageId = annotation?.metadata?.referencedImageId
       if (!referencedImageId) return null
       const cacheKey = `imageId:${referencedImageId}`