diff --git a/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue b/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
index e37329fb..b33996c4 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/DicomViewer.vue
@@ -399,7 +399,7 @@
           <div style="padding:5px;display: flex;">
             <!-- 手册 -->
             <el-tooltip class="item" effect="dark" :content="$t('trials:reading:button:handbooks')" placement="bottom"
-              v-if="(isExistsManual || isHaveKeyFile) && readingTaskState < 2">
+              v-if="(isExistsManual || isHaveKeyFile) && currentReadingTaskState < 2">
               <div class="tool-wrapper">
                 <div class="icon" @click.prevent="previewManuals(false)">
                   <svg-icon icon-class="constitution" class="svg-icon" />
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
index 3de86373..1f3bfe5b 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/IRecist/QuestionForm.vue
@@ -1118,7 +1118,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1292,7 +1292,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
index 2532eabe..2d35316b 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Lugano/QuestionForm.vue
@@ -713,8 +713,8 @@ export default {
               this.$set(this.questionForm, stateId, 0)
             }
             var lesionLength = this.getQuestionVal(0)
-            // 当前添加的新病灶不做处理
-            if (!(this.isCurrentTaskAdd === 'True') && this.lesionType === 0 && !this.isBaseLineTask && measureData.type === 'Bidirectional') {
+            // 当前添加的新病灶不做处理 && this.lesionType === 0
+            if (!(this.isCurrentTaskAdd === 'True') && !this.isBaseLineTask && measureData.type === 'Bidirectional') {
               if (isLymphLesion) {
                 // 淋巴结靶病灶
                 if (lesionLength > 15) {
@@ -1389,7 +1389,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1505,7 +1505,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
index 2532eabe..2d35316b 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/LuganoWithoutPET/QuestionForm.vue
@@ -713,8 +713,8 @@ export default {
               this.$set(this.questionForm, stateId, 0)
             }
             var lesionLength = this.getQuestionVal(0)
-            // 当前添加的新病灶不做处理
-            if (!(this.isCurrentTaskAdd === 'True') && this.lesionType === 0 && !this.isBaseLineTask && measureData.type === 'Bidirectional') {
+            // 当前添加的新病灶不做处理 && this.lesionType === 0
+            if (!(this.isCurrentTaskAdd === 'True') && !this.isBaseLineTask && measureData.type === 'Bidirectional') {
               if (isLymphLesion) {
                 // 淋巴结靶病灶
                 if (lesionLength > 15) {
@@ -1389,7 +1389,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1505,7 +1505,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
index cdd95e92..8afa776a 100644
--- a/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/components/Recist/QuestionForm.vue
@@ -1068,7 +1068,7 @@ export default {
         if (this.lesionType === 1 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                 type: 'warning',
@@ -1184,7 +1184,7 @@ export default {
         if (this.lesionType === 2 && lesionState === 3) {
           if (lymphNodes === 1) {
             // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-            if (!(measureData && (measureData.type === 'ArrowAnnotate'))) {
+            if (!(measureData && (measureData.type === 'ArrowAnnotate' || measureData.type === 'Bidirectional'))) {
               // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
               this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                 type: 'warning',
diff --git a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
index ee39ac29..1f635265 100644
--- a/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
+++ b/src/views/trials/trials-panel/reading/dicoms/customize/CustomizeDicomViewer.vue
@@ -340,7 +340,7 @@
         <div style="margin-left: auto">
           <div style="padding: 5px">
             <el-tooltip class="item" effect="dark" :content="$t('trials:reading:button:handbooks')" placement="bottom"
-              v-if="(isExistsManual || isHaveKeyFile) && readingTaskState < 2">
+              v-if="(isExistsManual || isHaveKeyFile) && currentReadingTaskState < 2">
               <div class="tool-wrapper">
                 <div class="icon" @click.prevent="previewManuals()">
                   <svg-icon icon-class="constitution" class="svg-icon" />
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
index 8a0370c5..8640080a 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/Recist/QuestionList.vue
@@ -1126,7 +1126,7 @@ export default {
           if (lesionType === 1 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
                 // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                   type: 'warning',
@@ -1242,7 +1242,7 @@ export default {
           if (lesionType === 2 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
                 // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                   type: 'warning',
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 e9cbad5d..5bcaab84 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
@@ -1148,7 +1148,7 @@ export default {
           if (lesionType === 1 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
                 // 评估状态为消失的淋巴结非靶病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg37'), {
                   type: 'warning',
@@ -1304,7 +1304,7 @@ export default {
           if (lesionType === 2 && lesionState === 3) {
             if (lymphNodes === 1) {
               // 淋巴结靶病灶 必须使用长短径测量工具、箭头工具
-              if (!(measureData && (measureData.markTool === 'ArrowAnnotate'))) {
+              if (!(measureData && (measureData.markTool === 'ArrowAnnotate' || measureData.markTool === 'Bidirectional'))) {
                 // 评估状态为消失的淋巴结新病灶需使用箭头工具添加标记！
                 this.$confirm(this.$t('trials:reading:warnning:msg45'), {
                   type: 'warning',