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 dca89500..117d0ddd 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
@@ -1102,6 +1102,7 @@ export default {
         annotation.studyId = series.StudyId
         annotation.seriesId = series.Id
         annotation.instanceId = params.instanceId
+        annotation.sliceThickness = series.SliceThickness
         annotation.numberOfFrames = isNaN(parseInt(params.frame)) ? null : parseInt(params.frame)
         annotation.markTool = annotation.metadata.toolName
         this.$refs['ecrf'].setAnnotation({ annotation, toolName: annotation.metadata.toolName })
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
index fd227e42..a0916f2a 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/mRecist/QuestionList.vue
@@ -724,6 +724,7 @@ export default {
       this.$set(this.innerFormData[`${table.Id}_${rowIndex}`], 'MeasureData', null)
       // 重置保存标志
       this.$set(this.innerFormData[`${table.Id}_${rowIndex}`], 'SaveTypeEnum', innerForm.RowId ? 1 : 0)
+      this.$refs[`${table.Id}_${rowIndex}`][0].getOrganList()
     },
     // 删除病灶
     async deleteLesion(table, rowIndex) {
@@ -816,7 +817,7 @@ export default {
             }
           } else {
             // 非淋巴结靶病灶 直径测量工具 长径须大于等于10mm且不小于2倍层厚
-            if (!(measureData && measureData.markTool === 'Length' && lesionLength >= 10 && (measureData.thick && lesionLength >= 2 * measureData.thick || !measureData.thick))) {
+            if (!(measureData && measureData.markTool === 'Length' && lesionLength >= 10 && (measureData.sliceThickness && lesionLength >= 2 * measureData.sliceThickness || !measureData.sliceThickness))) {
               // 评估状态为存在的非淋巴结靶病灶需使用直径测量工具添加标记，长径须大于10mm且不小于2倍层厚！
               this.$confirm(this.$t('trials:reading:warnning:msg20'), {
                 type: 'warning',
@@ -1127,6 +1128,16 @@ export default {
               loading.close()
               return
             }
+            if (measureData && measureData.markTool === 'Length' && innerForm.IntrahepaticLesion && lesionLength < 10) {
+              // 病灶状态为“明确”的典型肝内病灶，长径应不小于10mm。
+              this.$confirm(this.$t('trials:mRecist:warnning:msg3'), {
+                type: 'warning',
+                showCancelButton: false,
+                callback: action => {}
+              })
+              loading.close()
+              return
+            }
           }
         }
 
@@ -1156,6 +1167,16 @@ export default {
               loading.close()
               return
             }
+            if (measureData && measureData.markTool === 'Length' && innerForm.IntrahepaticLesion && lesionLength >= 10) {
+              // 病灶状态为“疑似”的典型肝内病灶，长径应小于10mm。
+              this.$confirm(this.$t('trials:mRecist:warnning:msg4'), {
+                type: 'warning',
+                showCancelButton: false,
+                callback: action => {}
+              })
+              loading.close()
+              return
+            }
           }
         }