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ID

10851

Description

S0502 Positron Emission Tomography (PET) Assessment Form NCT00324987 S0502 Imatinib Mesylate With or Without Bevacizumab in Treating Patients With Metastatic or Unresectable Gastrointestinal Stromal Tumor Source Form: NCI FormBuilder: https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE8452-90FE-734C-E034-0003BA3F9857

Link

https://formbuilder.nci.nih.gov/FormBuilder/formDetailsAction.do?method=getFormDetails&formIdSeq=FCBE8452-90FE-734C-E034-0003BA3F9857

Keywords

Versions (3)
  1. 9/19/12 9/19/12 -
  2. 1/9/15 1/9/15 - Martin Dugas
  3. 6/9/15 6/9/15 -
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June 9, 2015

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    S0502 Positron Emission Tomography (PET) Assessment Form NCT00324987

    English

    No Instruction available.

    1 forms  
    1. StudyEvent: S0502 Positron Emission Tomography (PET) Assessment Form
      1. No Instruction available.
    Header
    Description

    Header

    SWOG Patient ID
    Description

    Trial subject ID SWOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    SWOG Study No.
    Description

    Protocol ID SWOG

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C1519429
    NCI Thesaurus Property
    C25364
    NCI Thesaurus Property-2
    C25699
    Registration Step
    Description

    Registration Number

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C1514821
    NCI Thesaurus ObjectClass
    C25646
    UMLS CUI-2
    C0237753
    NCI Thesaurus Property
    C16154
    NCI Thesaurus ValueDomain-2
    C16154
    Patient Initials (L, F M)
    Description

    Patient Initials

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2986440
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25536
    Institution/Affiliate
    Description

    Institution Name

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C25454
    UMLS CUI-1
    C1301943
    NCI Thesaurus ObjectClass-2
    C21541
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ValueDomain
    C25191
    NCI Thesaurus ValueDomain-2
    C21541
    Physician
    Description

    Investigator Name

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2826892
    NCI Thesaurus Property
    C25364
    NCI Thesaurus ObjectClass
    C17089
    NCI Thesaurus ObjectClass-2
    C25644
    Participating Group Name
    Description

    Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25191
    UMLS CUI-1
    C2347449
    NCI Thesaurus ObjectClass
    C25608
    NCI Thesaurus ObjectClass-2
    C17005
    NCI Thesaurus Property
    C25364
    Participating Group Study No.
    Description

    Study Number Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C3274381
    NCI Thesaurus ObjectClass
    C25320
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Participating Group Patient ID
    Description

    Trial subject ID Participating Group

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25337
    UMLS CUI-1
    C2348585
    NCI Thesaurus ObjectClass
    C16960
    UMLS CUI-2
    C2347449
    NCI Thesaurus Property
    C25608
    NCI Thesaurus Property-2
    C25364
    Positron Emission Tomography (PET) Assessment
    Description

    Positron Emission Tomography (PET) Assessment

    Timepoint of PET
    Description

    PositronEmissionTomographyAssessmentPeriodTime

    Data type

    text

    Alias
    NCI Thesaurus ObjectClass
    C20989
    UMLS 2011AA ObjectClass
    C0031809
    NCI Thesaurus Property
    C25616
    UMLS 2011AA Property
    C1948053
    NCI Thesaurus ObjectClass-2
    C17007
    UMLS 2011AA ObjectClass-2
    C0032743
    NCI Thesaurus ValueDomain
    C25207
    UMLS 2011AA ValueDomain
    C0040223
    Date of PET scan
    Description

    PatientPre-studyChestPositronEmissionTomographyEligibilityDate

    Data type

    date

    Alias
    NCI Thesaurus ObjectClass
    C16960
    UMLS 2011AA ObjectClass
    C0030705
    NCI Thesaurus Property
    C17007
    UMLS 2011AA Property
    C0032743
    NCI Thesaurus Property-2
    C25389
    UMLS 2011AA Property-2
    C0817096
    NCI Thesaurus Property-3
    C25171
    UMLS 2011AA Property-3
    C0013893
    NCI Thesaurus Property-4
    C38010
    UMLS 2011AA Property-4
    C1527048
    NCI Thesaurus ValueDomain
    C25164
    UMLS 2011AA ValueDomain
    C0011008
    Serum Glucose
    Description

    LaboratoryProcedureGlucoseElectrolytesOutcomeUnspecifiedValue

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C25294
    UMLS 2011AA ObjectClass
    C0022885
    NCI Thesaurus Property
    C20200
    UMLS 2011AA Property
    C1274040
    NCI Thesaurus Property-2
    C2831
    UMLS 2011AA Property-2
    C0017725
    NCI Thesaurus Property-3
    C464
    UMLS 2011AA Property-3
    C0013832
    NCI Thesaurus ValueDomain
    C25712
    UMLS 2011AA ValueDomain
    C1522609
    Patient Weight (kg on Day of Scan)
    Description

    Patient Weight

    Data type

    float

    Measurement units
    • Kg
    Alias
    NCI Thesaurus ValueDomain
    C25209
    UMLS CUI-1
    C0005910
    NCI Thesaurus ObjectClass
    C16960
    NCI Thesaurus Property
    C25208
    Kg
    Amount of FDG in Syringe Pre-Injection (mCi)
    Description

    FluorodeoxyglucosePositronEmissionTomographyPlannedInjectionAmount

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus ObjectClass-2
    C964
    UMLS 2011AA ObjectClass-2
    C0046056
    NCI Thesaurus Property
    C25619
    UMLS 2011AA Property
    C1301732
    NCI Metathesaurus Property
    C0021485
    NCI Thesaurus ValueDomain
    C25417
    Amount of FDG in Syringe Post-Injection (mCi)
    Description

    FluorodeoxyglucosePositronEmissionTomographyRemainingInjectionAmount

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus ObjectClass-2
    C964
    UMLS 2011AA ObjectClass-2
    C0046056
    NCI Thesaurus Property
    C25649
    UMLS 2011AA Property
    C1527428
    NCI Metathesaurus Property
    C0021485
    NCI Thesaurus ValueDomain
    C25417
    Amount of FDG Injected (mCi)
    Description

    FluorodeoxyglucosePositronEmissionTomographyAdministeredInjectionAmount

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus ObjectClass-2
    C964
    UMLS 2011AA ObjectClass-2
    C0046056
    NCI Thesaurus Property
    C25382
    UMLS 2011AA Property
    C1521801
    NCI Metathesaurus Property
    C0021485
    NCI Thesaurus ValueDomain
    C25417
    Scan Start Time (HH:MM)
    Description

    DiagnosticImagingProcedureBeginTime

    Data type

    time

    Alias
    NCI Thesaurus ObjectClass
    C16502
    UMLS 2011AA ObjectClass
    C0011923
    NCI Thesaurus ValueDomain
    C25431
    UMLS 2011AA ValueDomain
    C0439659
    NCI Thesaurus Property
    C25218
    UMLS 2011AA Property
    C1948041
    NCI Thesaurus ValueDomain-2
    C25207
    UMLS 2011AA ValueDomain-2
    C0040223
    Injection Start Time (HH:MM)
    Description

    FluorodeoxyglucosePositronEmissionTomographyInjectionBeginTime

    Data type

    time

    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus ObjectClass-2
    C964
    UMLS 2011AA ObjectClass-2
    C0046056
    NCI Metathesaurus Property
    C0021485
    NCI Thesaurus ValueDomain
    C25431
    UMLS 2011AA ValueDomain
    C0439659
    NCI Thesaurus ValueDomain-2
    C25207
    UMLS 2011AA ValueDomain-2
    C0040223
    Standard Uptake Value Max (max of index lesion)
    Description

    PositronEmissionTomographyStandardUptakeValueMaximumNumber

    Data type

    float

    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Metathesaurus ObjectClass
    C0243144
    NCI Thesaurus Property
    C25564
    UMLS 2011AA Property
    C0806909
    NCI Thesaurus Property-2
    C44256
    UMLS 2011AA Property-2
    C0456603
    NCI Thesaurus ValueDomain
    C25337
    UMLS 2011AA ValueDomain
    C0237753
    Attenuation Type
    Description

    PositronEmissionTomographyAttenuatedProcedureType

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25284
    UMLS 2011AA ValueDomain
    C0332307
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus Property
    C25218
    UMLS 2011AA Property
    C1948041
    NCI Thesaurus Property-2
    C28034
    UMLS 2011AA Property-2
    C0332161
    Length (minutes 3 minute minimum)
    Description

    PositronEmissionTomographyAttenuatedProcedureDuration

    Data type

    float

    Measurement units
    • min
    Alias
    NCI Thesaurus ObjectClass
    C17007
    UMLS 2011AA ObjectClass
    C0032743
    NCI Thesaurus Property
    C25218
    UMLS 2011AA Property
    C1948041
    NCI Thesaurus ValueDomain
    C25330
    UMLS 2011AA ValueDomain
    C0449238
    NCI Thesaurus Property-2
    C28034
    UMLS 2011AA Property-2
    C0332161
    min
    Comments
    Description

    Comments

    Comments
    Description

    Research Comments

    Data type

    text

    Alias
    NCI Thesaurus ValueDomain
    C25704
    UMLS CUI-1
    C0947611
    NCI Thesaurus ObjectClass
    C15319
    NCI Thesaurus Property
    C25393
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    Similar models

    No Instruction available.

    1 forms
    1. StudyEvent: S0502 Positron Emission Tomography (PET) Assessment Form
      1. No Instruction available.
    Name
    Type
    Description | Question | Decode (Coded Value)
    Data type
    Alias
    Item Group
    Header
    Trial subject ID SWOG
    Item
    SWOG Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Protocol ID SWOG
    Item
    SWOG Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C1519429 (UMLS CUI-2)
    C25364 (NCI Thesaurus Property)
    C25699 (NCI Thesaurus Property-2)
    Registration Number
    Item
    Registration Step
    text
    C25337 (NCI Thesaurus ValueDomain)
    C1514821 (UMLS CUI-1)
    C25646 (NCI Thesaurus ObjectClass)
    C0237753 (UMLS CUI-2)
    C16154 (NCI Thesaurus Property)
    C16154 (NCI Thesaurus ValueDomain-2)
    Patient Initials
    Item
    Patient Initials (L, F M)
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2986440 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25536 (NCI Thesaurus Property)
    Institution Name
    Item
    Institution/Affiliate
    text
    C25454 (NCI Thesaurus ObjectClass)
    C1301943 (UMLS CUI-1)
    C21541 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    C25191 (NCI Thesaurus ValueDomain)
    C21541 (NCI Thesaurus ValueDomain-2)
    Investigator Name
    Item
    Physician
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2826892 (UMLS CUI-1)
    C25364 (NCI Thesaurus Property)
    C17089 (NCI Thesaurus ObjectClass)
    C25644 (NCI Thesaurus ObjectClass-2)
    Participating Group
    Item
    Participating Group Name
    text
    C25191 (NCI Thesaurus ValueDomain)
    C2347449 (UMLS CUI-1)
    C25608 (NCI Thesaurus ObjectClass)
    C17005 (NCI Thesaurus ObjectClass-2)
    C25364 (NCI Thesaurus Property)
    Study Number Participating Group
    Item
    Participating Group Study No.
    text
    C25337 (NCI Thesaurus ValueDomain)
    C3274381 (UMLS CUI-1)
    C25320 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Trial subject ID Participating Group
    Item
    Participating Group Patient ID
    text
    C25337 (NCI Thesaurus ValueDomain)
    C2348585 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C2347449 (UMLS CUI-2)
    C25608 (NCI Thesaurus Property)
    C25364 (NCI Thesaurus Property-2)
    Item Group
    Positron Emission Tomography (PET) Assessment
    Item
    Timepoint of PET
    text
    C20989 (NCI Thesaurus ObjectClass)
    C0031809 (UMLS 2011AA ObjectClass)
    C25616 (NCI Thesaurus Property)
    C1948053 (UMLS 2011AA Property)
    C17007 (NCI Thesaurus ObjectClass-2)
    C0032743 (UMLS 2011AA ObjectClass-2)
    C25207 (NCI Thesaurus ValueDomain)
    C0040223 (UMLS 2011AA ValueDomain)
    CL.1
    Code List
    Timepoint of PET
    CL Item
    Prestudy (Prestudy)
    CL Item
    Week 4 (Week 4)
    PatientPre-studyChestPositronEmissionTomographyEligibilityDate
    Item
    Date of PET scan
    date
    C16960 (NCI Thesaurus ObjectClass)
    C0030705 (UMLS 2011AA ObjectClass)
    C17007 (NCI Thesaurus Property)
    C0032743 (UMLS 2011AA Property)
    C25389 (NCI Thesaurus Property-2)
    C0817096 (UMLS 2011AA Property-2)
    C25171 (NCI Thesaurus Property-3)
    C0013893 (UMLS 2011AA Property-3)
    C38010 (NCI Thesaurus Property-4)
    C1527048 (UMLS 2011AA Property-4)
    C25164 (NCI Thesaurus ValueDomain)
    C0011008 (UMLS 2011AA ValueDomain)
    LaboratoryProcedureGlucoseElectrolytesOutcomeUnspecifiedValue
    Item
    Serum Glucose
    float
    C25294 (NCI Thesaurus ObjectClass)
    C0022885 (UMLS 2011AA ObjectClass)
    C20200 (NCI Thesaurus Property)
    C1274040 (UMLS 2011AA Property)
    C2831 (NCI Thesaurus Property-2)
    C0017725 (UMLS 2011AA Property-2)
    C464 (NCI Thesaurus Property-3)
    C0013832 (UMLS 2011AA Property-3)
    C25712 (NCI Thesaurus ValueDomain)
    C1522609 (UMLS 2011AA ValueDomain)
    Patient Weight
    Item
    Patient Weight (kg on Day of Scan)
    float
    C25209 (NCI Thesaurus ValueDomain)
    C0005910 (UMLS CUI-1)
    C16960 (NCI Thesaurus ObjectClass)
    C25208 (NCI Thesaurus Property)
    FluorodeoxyglucosePositronEmissionTomographyPlannedInjectionAmount
    Item
    Amount of FDG in Syringe Pre-Injection (mCi)
    float
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C964 (NCI Thesaurus ObjectClass-2)
    C0046056 (UMLS 2011AA ObjectClass-2)
    C25619 (NCI Thesaurus Property)
    C1301732 (UMLS 2011AA Property)
    C0021485 (NCI Metathesaurus Property)
    C25417 (NCI Thesaurus ValueDomain)
    FluorodeoxyglucosePositronEmissionTomographyRemainingInjectionAmount
    Item
    Amount of FDG in Syringe Post-Injection (mCi)
    float
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C964 (NCI Thesaurus ObjectClass-2)
    C0046056 (UMLS 2011AA ObjectClass-2)
    C25649 (NCI Thesaurus Property)
    C1527428 (UMLS 2011AA Property)
    C0021485 (NCI Metathesaurus Property)
    C25417 (NCI Thesaurus ValueDomain)
    FluorodeoxyglucosePositronEmissionTomographyAdministeredInjectionAmount
    Item
    Amount of FDG Injected (mCi)
    float
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C964 (NCI Thesaurus ObjectClass-2)
    C0046056 (UMLS 2011AA ObjectClass-2)
    C25382 (NCI Thesaurus Property)
    C1521801 (UMLS 2011AA Property)
    C0021485 (NCI Metathesaurus Property)
    C25417 (NCI Thesaurus ValueDomain)
    DiagnosticImagingProcedureBeginTime
    Item
    Scan Start Time (HH:MM)
    time
    C16502 (NCI Thesaurus ObjectClass)
    C0011923 (UMLS 2011AA ObjectClass)
    C25431 (NCI Thesaurus ValueDomain)
    C0439659 (UMLS 2011AA ValueDomain)
    C25218 (NCI Thesaurus Property)
    C1948041 (UMLS 2011AA Property)
    C25207 (NCI Thesaurus ValueDomain-2)
    C0040223 (UMLS 2011AA ValueDomain-2)
    FluorodeoxyglucosePositronEmissionTomographyInjectionBeginTime
    Item
    Injection Start Time (HH:MM)
    time
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C964 (NCI Thesaurus ObjectClass-2)
    C0046056 (UMLS 2011AA ObjectClass-2)
    C0021485 (NCI Metathesaurus Property)
    C25431 (NCI Thesaurus ValueDomain)
    C0439659 (UMLS 2011AA ValueDomain)
    C25207 (NCI Thesaurus ValueDomain-2)
    C0040223 (UMLS 2011AA ValueDomain-2)
    PositronEmissionTomographyStandardUptakeValueMaximumNumber
    Item
    Standard Uptake Value Max (max of index lesion)
    float
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C0243144 (NCI Metathesaurus ObjectClass)
    C25564 (NCI Thesaurus Property)
    C0806909 (UMLS 2011AA Property)
    C44256 (NCI Thesaurus Property-2)
    C0456603 (UMLS 2011AA Property-2)
    C25337 (NCI Thesaurus ValueDomain)
    C0237753 (UMLS 2011AA ValueDomain)
    Item
    Attenuation Type
    text
    C25284 (NCI Thesaurus ValueDomain)
    C0332307 (UMLS 2011AA ValueDomain)
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C25218 (NCI Thesaurus Property)
    C1948041 (UMLS 2011AA Property)
    C28034 (NCI Thesaurus Property-2)
    C0332161 (UMLS 2011AA Property-2)
    CL.2
    Code List
    Attenuation Type
    CL Item
    Computed Tomography (CT)
    C17204 (NCI Thesaurus)
    C0040405 (UMLS 2011AA)
    CL Item
    Rod (Rod)
    C64352 (NCI Thesaurus)
    C1947942 (UMLS 2011AA)
    PositronEmissionTomographyAttenuatedProcedureDuration
    Item
    Length (minutes 3 minute minimum)
    float
    C17007 (NCI Thesaurus ObjectClass)
    C0032743 (UMLS 2011AA ObjectClass)
    C25218 (NCI Thesaurus Property)
    C1948041 (UMLS 2011AA Property)
    C25330 (NCI Thesaurus ValueDomain)
    C0449238 (UMLS 2011AA ValueDomain)
    C28034 (NCI Thesaurus Property-2)
    C0332161 (UMLS 2011AA Property-2)
    Item Group
    Comments
    Research Comments
    Item
    Comments
    text
    C25704 (NCI Thesaurus ValueDomain)
    C0947611 (UMLS CUI-1)
    C15319 (NCI Thesaurus ObjectClass)
    C25393 (NCI Thesaurus Property)
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