diff --git a/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue b/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
index 8e1c269b..a88e38b2 100644
--- a/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
+++ b/src/views/trials/trials-panel/setting/reading-unit/components/QuestionsForm.vue
@@ -727,6 +727,19 @@
           }}
         </div>
       </div>
+      <!-- 影像标记 -->
+      <el-form-item
+        v-if="form.Type === 'number' && !isFromSystem"
+        :label="$t('trials:readingUnit:qsList:title:imageMarkEnum')"
+        prop="ImageMarkEnum"
+      >
+        <el-radio-group
+          v-model="form.ImageMarkEnum"
+          :disabled="form.IsRequired === 0"
+        >
+          <el-radio v-for="item of $d.ImageMark" :key="item.id" :label="item.value" :disabled="form.IsRequired === 2 && item.value === 1">{{ item.label }}</el-radio>
+        </el-radio-group>
+      </el-form-item>
       <!-- 最大上传个数 -->
       <el-form-item 
         v-if="form.Type === 'upload'" 
@@ -1071,7 +1084,8 @@ export default {
         ExportResult: [],
         ClassifyType: null,
         ClassifyEditType: null,
-        ClassifyShowType: null
+        ClassifyShowType: null,
+        ImageMarkEnum: 0
         // IsEnable: true
       },
       rules: {
@@ -1456,6 +1470,12 @@ export default {
         form.RelevanceId = ''
         form.RelevanceValueList = []
       }
+      if (val === 0 && form.Type === 'number' && !this.isFromSystem) {
+        form.ImageMarkEnum = 1
+      }
+      if (val === 2 && form.Type === 'number' && !this.isFromSystem) {
+        form.ImageMarkEnum = 0
+      }
     },
     parentQuestionChange(val, form) {
       console.log(val)
@@ -1550,6 +1570,7 @@ export default {
       form.ExportResult = []
       form.ClassifyType = null
       form.ClassifyShowType = null
+      form.ImageMarkEnum = 0
     },
     getLesionType() {
       return new Promise((resolve, reject) => {
diff --git a/src/views/trials/trials-panel/setting/reading-unit/components/TableQsForm.vue b/src/views/trials/trials-panel/setting/reading-unit/components/TableQsForm.vue
index a7b08f52..9f2e4f2f 100644
--- a/src/views/trials/trials-panel/setting/reading-unit/components/TableQsForm.vue
+++ b/src/views/trials/trials-panel/setting/reading-unit/components/TableQsForm.vue
@@ -429,6 +429,22 @@
             <i class="el-icon-info" />{{ [1, 2, 3, 4].includes(form.CustomCalculateMark) ? $t('trials:readingUnit:qsList:message:msg1') : $t('trials:readingUnit:qsList:message:msg2') }}
           </div>
         </div>
+        <!-- 影像标记 -->
+      <el-form-item
+        v-if="form.Type === 'number' && !isFromSystem"
+        :label="$t('trials:readingUnit:qsList:title:imageMarkEnum')"
+        prop="ImageMarkEnum"
+        :rules="[
+          { required: true, message: this.$t('common:ruleMessage:select')}
+        ]"
+      >
+        <el-radio-group
+          v-model="form.ImageMarkEnum"
+          :disabled="form.IsRequired === 0"
+        >
+          <el-radio v-for="item of $d.ImageMark" :key="item.id" :label="item.value" :disabled="form.IsRequired === 2 && item.value === 1">{{ item.label }}</el-radio>
+        </el-radio-group>
+      </el-form-item>
         <el-form-item
           v-if="(form.Type === 'select' || form.Type === 'radio' || form.Type === 'input') && isFromSystem"
           :label="$t('trials:readingUnit:label:QuestionGenre')"
@@ -896,6 +912,7 @@ export default {
         ClassifyType: null,
         ClassifyEditType: null,
         ClassifyShowType: null,
+        ImageMarkEnum: 0
         // IsEnable: true
       },
       rules: {
@@ -1263,6 +1280,12 @@ export default {
         form.RelevanceId = ''
         form.RelevanceValueList = []
       }
+      if (val === 0 && form.Type === 'number' && !this.isFromSystem) {
+        form.ImageMarkEnum = 1
+      }
+      if (val === 2 && form.Type === 'number' && !this.isFromSystem) {
+        form.ImageMarkEnum = 0
+      }
     },
     async parentQuestionChange(val, form) {
       if (val) {
@@ -1372,6 +1395,7 @@ export default {
       form.ImageCount = 0
       form.ClassifyType = null
       form.ClassifyShowType = null
+      form.ImageMarkEnum = 0
     },
     close() {
       this.$emit('close')