Description:

CALGB: 80802 Imaging Form NCT01015833 Sorafenib Tosylate With or Without Doxorubicin Hydrochloride in Treating Patients With Locally Advanced or Metastatic Liver Cancer Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=741B4E5D-7BA2-2FBB-E040-BB89AD432970

Link:

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=741B4E5D-7BA2-2FBB-E040-BB89AD432970

Keywords:

Clinical Trial

Liver Neoplasms

On-Study Form

Uploaded on:

June 21, 2015

DOI:

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License :

Creative Commons BY-NC 3.0 Legacy

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CALGB: 80802 Imaging Form NCT01015833

Details

No Instruction available.

1 forms

StudyEvent: CALGB: 80802 Imaging Form
1. No Instruction available.

Header

CALGB Form

CALGB Study No

CALGB Patient ID

Date of CT Scan

Are data amended

Yes

Patient demographics

Patient Initials (Last, First Middle)

Patient Hospital No.

Institution/Affiliate

Participating Group

Participating Group Study No.

Participating Group Patient ID

Hospital Name (or imaging center performing chest CT)

Reporting Period

Baseline (Baseline)

On Treatment (On treatment)

Follow-up (Follow-up)

Cycle Number

Evaluation of lesions

Lesion Number

Site of Lesion

Series number

Section number

Maximum diameter of tumor

Present on previous CT scan

No, New Lesion (No, new lesion)

Yes, Same Size As Previous Scan (Yes, same size as previous scan)

Yes, Size Decreased From Previous Scan (Yes, size decreased from previous scan)

Yes, Size Increased From Previous Scan (Yes, size increased from previous scan)

Footer

Completed by (Last name, First name)

Date Form Originally Completed

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