ID

36880

Beskrivning

MR-guided Focal Laser Ablation of the Prostate; ODM derived from: https://clinicaltrials.gov/show/NCT02200809

Länk

https://clinicaltrials.gov/show/NCT02200809

Nyckelord

Versioner (1)
  1. 2019-06-18 2019-06-18 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

18 juni 2019

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.

Tillbaka till modellkommentarer
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 Prostate Cancer NCT02200809

Engelsk

Eligibility Prostate Cancer NCT02200809

1 Formulär  
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
newly diagnosed and biopsy proven prostate cancer
Beskrivning

Prostate carcinoma

Datatyp

boolean

Alias
UMLS CUI [1]
C0600139
intermediate risk patients (psa <= 20 ng/ml, gleason ≤ 7, t2b)
Beskrivning

Patients Intermediate Risk | Prostate specific antigen measurement | Gleason score | TNM clinical staging

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C3640764
UMLS CUI [2]
C0201544
UMLS CUI [3]
C3203027
UMLS CUI [4]
C3258246
no previous treatment for prostate cancer
Beskrivning

Prostate carcinoma Untreated

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0600139
UMLS CUI [1,2]
C0332155
cancer lesion located at least 1 cm away from the neurovascular bundle according to multimodality mr images
Beskrivning

Neoplasm Lesion | Location With distance Neurovascular bundle Multimodal Imaging

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0027651
UMLS CUI [1,2]
C0221198
UMLS CUI [2,1]
C1515974
UMLS CUI [2,2]
C2979906
UMLS CUI [2,3]
C0824497
UMLS CUI [2,4]
C1513743
signed informed consent by patient
Beskrivning

Informed Consent

Datatyp

boolean

Alias
UMLS CUI [1]
C0021430
age 18 years or older
Beskrivning

Age

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
signed screening form (to determine exclusion for metal device/foreign bodies/claustrophobia)
Beskrivning

Screening form Signed | Exclusion Metal device | Exclusion Foreign Bodies | Exclusion Claustrophobia

Datatyp

boolean

Alias
UMLS CUI [1,1]
C3173811
UMLS CUI [1,2]
C1519316
UMLS CUI [2,1]
C2828389
UMLS CUI [2,2]
C0336536
UMLS CUI [3,1]
C2828389
UMLS CUI [3,2]
C0016542
UMLS CUI [4,1]
C2828389
UMLS CUI [4,2]
C0008909
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
impossibility to obtain a valid informed consent
Beskrivning

Informed Consent Lacking

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0021430
UMLS CUI [1,2]
C0332268
patients unable to undergo mr imaging, including those with contra-indications
Beskrivning

MRI Receive Unable | Medical contraindication MRI

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0024485
UMLS CUI [1,2]
C1514756
UMLS CUI [1,3]
C1299582
UMLS CUI [2,1]
C1301624
UMLS CUI [2,2]
C0024485
contra-indications to mr guided focal laser therapy (colitis ulcerosa, rectal pathology or abdomino perineal resection)
Beskrivning

Medical contraindication Laser Therapy Focal | Ulcerative Colitis | Rectal Diseases | Abdominoperineal resection

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1301624
UMLS CUI [1,2]
C1955835
UMLS CUI [1,3]
C0205234
UMLS CUI [2]
C0009324
UMLS CUI [3]
C0034882
UMLS CUI [4]
C2004459
metallic hip implant or any other metallic implant or device that distorts local magnetic field and compromises the quality of mr imaging
Beskrivning

Hip Implant Metallic | Metallic device / implant distorts Magnetic Field | Metallic device / implant compromises Magnetic Resonance Imaging

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0019560
UMLS CUI [1,2]
C2986473
UMLS CUI [2,1]
C3693688
UMLS CUI [2,2]
C0700135
UMLS CUI [2,3]
C0563533
UMLS CUI [3,1]
C3693688
UMLS CUI [3,2]
C2945640
UMLS CUI [3,3]
C0024485
patients with evidence for nodal or metastatic disease
Beskrivning

Disorder of lymph node | Neoplasm Metastasis

Datatyp

boolean

Alias
UMLS CUI [1]
C0272394
UMLS CUI [2]
C0027627
patients with an estimated glomerular filtration ratio (egfr) < 40 ml/min/1.73 m2
Beskrivning

Estimated Glomerular Filtration Rate

Datatyp

boolean

Alias
UMLS CUI [1]
C3811844
Tillbaka till toppen

Similar models

Eligibility Prostate Cancer NCT02200809

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
Prostate carcinoma
Item
newly diagnosed and biopsy proven prostate cancer
boolean
C0600139 (UMLS CUI [1])
Patients Intermediate Risk | Prostate specific antigen measurement | Gleason score | TNM clinical staging
Item
intermediate risk patients (psa <= 20 ng/ml, gleason ≤ 7, t2b)
boolean
C0030705 (UMLS CUI [1,1])
C3640764 (UMLS CUI [1,2])
C0201544 (UMLS CUI [2])
C3203027 (UMLS CUI [3])
C3258246 (UMLS CUI [4])
Prostate carcinoma Untreated
Item
no previous treatment for prostate cancer
boolean
C0600139 (UMLS CUI [1,1])
C0332155 (UMLS CUI [1,2])
Neoplasm Lesion | Location With distance Neurovascular bundle Multimodal Imaging
Item
cancer lesion located at least 1 cm away from the neurovascular bundle according to multimodality mr images
boolean
C0027651 (UMLS CUI [1,1])
C0221198 (UMLS CUI [1,2])
C1515974 (UMLS CUI [2,1])
C2979906 (UMLS CUI [2,2])
C0824497 (UMLS CUI [2,3])
C1513743 (UMLS CUI [2,4])
Informed Consent
Item
signed informed consent by patient
boolean
C0021430 (UMLS CUI [1])
Age
Item
age 18 years or older
boolean
C0001779 (UMLS CUI [1])
Screening form Signed | Exclusion Metal device | Exclusion Foreign Bodies | Exclusion Claustrophobia
Item
signed screening form (to determine exclusion for metal device/foreign bodies/claustrophobia)
boolean
C3173811 (UMLS CUI [1,1])
C1519316 (UMLS CUI [1,2])
C2828389 (UMLS CUI [2,1])
C0336536 (UMLS CUI [2,2])
C2828389 (UMLS CUI [3,1])
C0016542 (UMLS CUI [3,2])
C2828389 (UMLS CUI [4,1])
C0008909 (UMLS CUI [4,2])
Item Group
C0680251 (UMLS CUI)
Informed Consent Lacking
Item
impossibility to obtain a valid informed consent
boolean
C0021430 (UMLS CUI [1,1])
C0332268 (UMLS CUI [1,2])
MRI Receive Unable | Medical contraindication MRI
Item
patients unable to undergo mr imaging, including those with contra-indications
boolean
C0024485 (UMLS CUI [1,1])
C1514756 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
C1301624 (UMLS CUI [2,1])
C0024485 (UMLS CUI [2,2])
Medical contraindication Laser Therapy Focal | Ulcerative Colitis | Rectal Diseases | Abdominoperineal resection
Item
contra-indications to mr guided focal laser therapy (colitis ulcerosa, rectal pathology or abdomino perineal resection)
boolean
C1301624 (UMLS CUI [1,1])
C1955835 (UMLS CUI [1,2])
C0205234 (UMLS CUI [1,3])
C0009324 (UMLS CUI [2])
C0034882 (UMLS CUI [3])
C2004459 (UMLS CUI [4])
Hip Implant Metallic | Metallic device / implant distorts Magnetic Field | Metallic device / implant compromises Magnetic Resonance Imaging
Item
metallic hip implant or any other metallic implant or device that distorts local magnetic field and compromises the quality of mr imaging
boolean
C0019560 (UMLS CUI [1,1])
C2986473 (UMLS CUI [1,2])
C3693688 (UMLS CUI [2,1])
C0700135 (UMLS CUI [2,2])
C0563533 (UMLS CUI [2,3])
C3693688 (UMLS CUI [3,1])
C2945640 (UMLS CUI [3,2])
C0024485 (UMLS CUI [3,3])
Disorder of lymph node | Neoplasm Metastasis
Item
patients with evidence for nodal or metastatic disease
boolean
C0272394 (UMLS CUI [1])
C0027627 (UMLS CUI [2])
Estimated Glomerular Filtration Rate
Item
patients with an estimated glomerular filtration ratio (egfr) < 40 ml/min/1.73 m2
boolean
C3811844 (UMLS CUI [1])
Tillbaka till toppen 

Kontakt

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

Fält markerade med * är obligatoriska.

Hjälp

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