ID

27311

Beskrivning

FDG-PET/CT for Simulation and Radiation Treatment Planning of Early Breast Cancer; ODM derived from: https://clinicaltrials.gov/show/NCT01432002

Länk

https://clinicaltrials.gov/show/NCT01432002

Nyckelord

  1. 2017-11-07 2017-11-07 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

7 november 2017

DOI

För en begäran logga in.

Licens

Creative Commons BY 4.0

Modellkommentarer :

Här kan du kommentera modellen. Med hjälp av pratbubblor i Item-grupperna och Item kan du lägga in specifika kommentarer.

Itemgroup-kommentar för :

Item-kommentar för :

Du måste vara inloggad för att kunna ladda ner formulär. Var vänlig logga in eller registrera dig utan kostnad.

Eligibility Breast Neoplasm NCT01432002

Eligibility Breast Neoplasm NCT01432002

Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
histologically confirmed breast carcinoma
Beskrivning

Breast Carcinoma

Datatyp

boolean

Alias
UMLS CUI [1]
C0678222
clinical stage t1-2 n0 m0
Beskrivning

TNM Breast tumor staging

Datatyp

boolean

Alias
UMLS CUI [1]
C0474926
age > 18 years
Beskrivning

Age

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
signed informed consent
Beskrivning

Informed Consent

Datatyp

boolean

Alias
UMLS CUI [1]
C0021430
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
who performance index 3
Beskrivning

WHO performance status scale

Datatyp

boolean

Alias
UMLS CUI [1]
C1298650
premenopausal women without contraception
Beskrivning

Premenopausal state | Contraceptive methods Absent

Datatyp

boolean

Alias
UMLS CUI [1]
C0232969
UMLS CUI [2,1]
C0700589
UMLS CUI [2,2]
C0332197
gestation
Beskrivning

Pregnancy

Datatyp

boolean

Alias
UMLS CUI [1]
C0032961
lactating
Beskrivning

Breast Feeding

Datatyp

boolean

Alias
UMLS CUI [1]
C0006147
prior surgery or radiotherapy on the same breast
Beskrivning

Prior surgery Breast Same | Prior radiation therapy Breast Same

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0455610
UMLS CUI [1,2]
C0006141
UMLS CUI [1,3]
C0445247
UMLS CUI [2,1]
C0279134
UMLS CUI [2,2]
C0006141
UMLS CUI [2,3]
C0445247
unable to understand study participation
Beskrivning

Study Protocol Comprehension Unable

Datatyp

boolean

Alias
UMLS CUI [1,1]
C2348563
UMLS CUI [1,2]
C0162340
UMLS CUI [1,3]
C1299582
bilateral breast cancer
Beskrivning

Bilateral breast cancer

Datatyp

boolean

Alias
UMLS CUI [1]
C0281267
prior ct thorax-abdomen and breast mri within 4 months of interview
Beskrivning

CT of chest and abdomen | MRI of breast

Datatyp

boolean

Alias
UMLS CUI [1]
C1630402
UMLS CUI [2]
C0344104
presence of electromechanical implant and/or body ferromagnetic material
Beskrivning

Implanted Medical Device | Ferromagnet Materials

Datatyp

boolean

Alias
UMLS CUI [1]
C2828363
UMLS CUI [2,1]
C3178787
UMLS CUI [2,2]
C0520510
previous history of renal insufficiency requiring dialysis and/or hospitalisation
Beskrivning

Renal Insufficiency Requirement Dialysis | Renal Insufficiency Hospitalization Required

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1565489
UMLS CUI [1,2]
C1514873
UMLS CUI [1,3]
C0011946
UMLS CUI [2,1]
C1565489
UMLS CUI [2,2]
C1708385
ureum and/or creatinine within 2 weeks of interview above lab's reference limits
Beskrivning

Urea increased | Creatinine increased

Datatyp

boolean

Alias
UMLS CUI [1]
C0856880
UMLS CUI [2]
C0151578
history of contrast allergy
Beskrivning

Contrast media allergy

Datatyp

boolean

Alias
UMLS CUI [1]
C0570562
hyperthyroidy
Beskrivning

Hyperthyroidism

Datatyp

boolean

Alias
UMLS CUI [1]
C0020550
claustrophobia.
Beskrivning

Claustrophobia

Datatyp

boolean

Alias
UMLS CUI [1]
C0008909

Similar models

Eligibility Breast Neoplasm NCT01432002

Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
Breast Carcinoma
Item
histologically confirmed breast carcinoma
boolean
C0678222 (UMLS CUI [1])
TNM Breast tumor staging
Item
clinical stage t1-2 n0 m0
boolean
C0474926 (UMLS CUI [1])
Age
Item
age > 18 years
boolean
C0001779 (UMLS CUI [1])
Informed Consent
Item
signed informed consent
boolean
C0021430 (UMLS CUI [1])
Item Group
C0680251 (UMLS CUI)
WHO performance status scale
Item
who performance index 3
boolean
C1298650 (UMLS CUI [1])
Premenopausal state | Contraceptive methods Absent
Item
premenopausal women without contraception
boolean
C0232969 (UMLS CUI [1])
C0700589 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
Pregnancy
Item
gestation
boolean
C0032961 (UMLS CUI [1])
Breast Feeding
Item
lactating
boolean
C0006147 (UMLS CUI [1])
Prior surgery Breast Same | Prior radiation therapy Breast Same
Item
prior surgery or radiotherapy on the same breast
boolean
C0455610 (UMLS CUI [1,1])
C0006141 (UMLS CUI [1,2])
C0445247 (UMLS CUI [1,3])
C0279134 (UMLS CUI [2,1])
C0006141 (UMLS CUI [2,2])
C0445247 (UMLS CUI [2,3])
Study Protocol Comprehension Unable
Item
unable to understand study participation
boolean
C2348563 (UMLS CUI [1,1])
C0162340 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
Bilateral breast cancer
Item
bilateral breast cancer
boolean
C0281267 (UMLS CUI [1])
CT of chest and abdomen | MRI of breast
Item
prior ct thorax-abdomen and breast mri within 4 months of interview
boolean
C1630402 (UMLS CUI [1])
C0344104 (UMLS CUI [2])
Implanted Medical Device | Ferromagnet Materials
Item
presence of electromechanical implant and/or body ferromagnetic material
boolean
C2828363 (UMLS CUI [1])
C3178787 (UMLS CUI [2,1])
C0520510 (UMLS CUI [2,2])
Renal Insufficiency Requirement Dialysis | Renal Insufficiency Hospitalization Required
Item
previous history of renal insufficiency requiring dialysis and/or hospitalisation
boolean
C1565489 (UMLS CUI [1,1])
C1514873 (UMLS CUI [1,2])
C0011946 (UMLS CUI [1,3])
C1565489 (UMLS CUI [2,1])
C1708385 (UMLS CUI [2,2])
Urea increased | Creatinine increased
Item
ureum and/or creatinine within 2 weeks of interview above lab's reference limits
boolean
C0856880 (UMLS CUI [1])
C0151578 (UMLS CUI [2])
Contrast media allergy
Item
history of contrast allergy
boolean
C0570562 (UMLS CUI [1])
Hyperthyroidism
Item
hyperthyroidy
boolean
C0020550 (UMLS CUI [1])
Claustrophobia
Item
claustrophobia.
boolean
C0008909 (UMLS CUI [1])

Använd detta formulär för feedback, frågor och förslag på förbättringar.

Fält markerade med * är obligatoriska.

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial