ID

41194

Beskrivning

Evaluation of 4D-contrast Enhanced PET-CT in Tumour Volume Definition; ODM derived from: https://clinicaltrials.gov/show/NCT02285660

Länk

https://clinicaltrials.gov/show/NCT02285660

Nyckelord

Versioner (1)
  1. 2020-07-10 2020-07-10 -
Rättsinnehavare

See clinicaltrials.gov

Uppladdad den

10 juli 2020

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 Lung Carcinoma NCT02285660

Engelsk

Eligibility Lung Carcinoma NCT02285660

1 Formulär  
Inclusion Criteria
Beskrivning

Inclusion Criteria

Alias
UMLS CUI
C1512693
age ≥18
Beskrivning

Age

Datatyp

boolean

Alias
UMLS CUI [1]
C0001779
who performance status 02 (appendix a)
Beskrivning

WHO performance status scale

Datatyp

boolean

Alias
UMLS CUI [1]
C1298650
histologically proven non small cell lung carcinoma, distal oesophageal carcinoma or pancreatic adenocarcinoma
Beskrivning

Non-Small Cell Lung Carcinoma | Esophageal carcinoma Distal | Adenocarcinoma of pancreas

Datatyp

boolean

Alias
UMLS CUI [1]
C0007131
UMLS CUI [2,1]
C0152018
UMLS CUI [2,2]
C0205108
UMLS CUI [3]
C0281361
clinical decision made to proceed with a course of radiotherapy of curative intent with or without concurrent chemotherapy
Beskrivning

Therapeutic radiology procedure Curative | Chemotherapy | Chemotherapy Absent

Datatyp

boolean

Alias
UMLS CUI [1,1]
C1522449
UMLS CUI [1,2]
C1276305
UMLS CUI [2]
C0392920
UMLS CUI [3,1]
C0392920
UMLS CUI [3,2]
C0332197
measurable primary tumour and/or locoregional metastatic lymph nodes on preradiotherapy imaging
Beskrivning

Primary Neoplasm Measurable | Secondary malignant neoplasm of lymph node Locoregional Imaging

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0677930
UMLS CUI [1,2]
C1513040
UMLS CUI [2,1]
C0686619
UMLS CUI [2,2]
C1947913
UMLS CUI [2,3]
C0011923
able to provide fully informed written consent
Beskrivning

Informed Consent

Datatyp

boolean

Alias
UMLS CUI [1]
C0021430
able to lie flat for 1 hour
Beskrivning

Able to lie down Duration

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0560841
UMLS CUI [1,2]
C0449238
not be pregnant or breast feeding. female patients of childbearing potential must agree to use effective contraception, be surgically sterile, or be postmenopausal.
Beskrivning

Pregnancy Absent | Breast Feeding Absent | Childbearing Potential Contraceptive methods | Female Sterilization | Postmenopausal state

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0032961
UMLS CUI [1,2]
C0332197
UMLS CUI [2,1]
C0006147
UMLS CUI [2,2]
C0332197
UMLS CUI [3,1]
C3831118
UMLS CUI [3,2]
C0700589
UMLS CUI [4]
C0015787
UMLS CUI [5]
C0232970
Exclusion Criteria
Beskrivning

Exclusion Criteria

Alias
UMLS CUI
C0680251
1. hypersensitivity to fluorine18 fludeoxyglucose (fdg)
Beskrivning

Hypersensitivity Fluorodeoxyglucose F18

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C0046056
2. hypersensitivity to iodinated contrast media
Beskrivning

Hypersensitivity Iodinated contrast media

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0020517
UMLS CUI [1,2]
C1960405
3. poorly controlled diabetes
Beskrivning

Poorly controlled diabetes mellitus

Datatyp

boolean

Alias
UMLS CUI [1]
C0554876
4. acute renal failure or moderate renal impairment (estimated glomerular filtration rate < 30 ml/min)
Beskrivning

Kidney Failure | Renal Insufficiency Moderate | Estimated Glomerular Filtration Rate

Datatyp

boolean

Alias
UMLS CUI [1]
C0035078
UMLS CUI [2,1]
C1565489
UMLS CUI [2,2]
C0205081
UMLS CUI [3]
C3811844
5. claustrophobia precluding imaging
Beskrivning

Claustrophobia Excludes Imaging

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0008909
UMLS CUI [1,2]
C0332196
UMLS CUI [1,3]
C0011923
6. uncontrolled pain
Beskrivning

Uncontrolled pain

Datatyp

boolean

Alias
UMLS CUI [1]
C0747149
7. urinary incontinence
Beskrivning

Urinary Incontinence

Datatyp

boolean

Alias
UMLS CUI [1]
C0042024
8. female patients must not be pregnant and if of child bearing age using adequate contraception
Beskrivning

Pregnancy | Childbearing Potential Contraceptive methods

Datatyp

boolean

Alias
UMLS CUI [1]
C0032961
UMLS CUI [2,1]
C3831118
UMLS CUI [2,2]
C0700589
9. breast feeding
Beskrivning

Breast Feeding

Datatyp

boolean

Alias
UMLS CUI [1]
C0006147
10. serious psychiatric comorbidity
Beskrivning

Comorbidity Serious Psychiatric

Datatyp

boolean

Alias
UMLS CUI [1,1]
C0009488
UMLS CUI [1,2]
C0205404
UMLS CUI [1,3]
C0205487
Tillbaka till toppen

Similar models

Eligibility Lung Carcinoma NCT02285660

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
Alias
Item Group
C1512693 (UMLS CUI)
Age
Item
age ≥18
boolean
C0001779 (UMLS CUI [1])
WHO performance status scale
Item
who performance status 02 (appendix a)
boolean
C1298650 (UMLS CUI [1])
Non-Small Cell Lung Carcinoma | Esophageal carcinoma Distal | Adenocarcinoma of pancreas
Item
histologically proven non small cell lung carcinoma, distal oesophageal carcinoma or pancreatic adenocarcinoma
boolean
C0007131 (UMLS CUI [1])
C0152018 (UMLS CUI [2,1])
C0205108 (UMLS CUI [2,2])
C0281361 (UMLS CUI [3])
Therapeutic radiology procedure Curative | Chemotherapy | Chemotherapy Absent
Item
clinical decision made to proceed with a course of radiotherapy of curative intent with or without concurrent chemotherapy
boolean
C1522449 (UMLS CUI [1,1])
C1276305 (UMLS CUI [1,2])
C0392920 (UMLS CUI [2])
C0392920 (UMLS CUI [3,1])
C0332197 (UMLS CUI [3,2])
Primary Neoplasm Measurable | Secondary malignant neoplasm of lymph node Locoregional Imaging
Item
measurable primary tumour and/or locoregional metastatic lymph nodes on preradiotherapy imaging
boolean
C0677930 (UMLS CUI [1,1])
C1513040 (UMLS CUI [1,2])
C0686619 (UMLS CUI [2,1])
C1947913 (UMLS CUI [2,2])
C0011923 (UMLS CUI [2,3])
Informed Consent
Item
able to provide fully informed written consent
boolean
C0021430 (UMLS CUI [1])
Able to lie down Duration
Item
able to lie flat for 1 hour
boolean
C0560841 (UMLS CUI [1,1])
C0449238 (UMLS CUI [1,2])
Pregnancy Absent | Breast Feeding Absent | Childbearing Potential Contraceptive methods | Female Sterilization | Postmenopausal state
Item
not be pregnant or breast feeding. female patients of childbearing potential must agree to use effective contraception, be surgically sterile, or be postmenopausal.
boolean
C0032961 (UMLS CUI [1,1])
C0332197 (UMLS CUI [1,2])
C0006147 (UMLS CUI [2,1])
C0332197 (UMLS CUI [2,2])
C3831118 (UMLS CUI [3,1])
C0700589 (UMLS CUI [3,2])
C0015787 (UMLS CUI [4])
C0232970 (UMLS CUI [5])
Item Group
C0680251 (UMLS CUI)
Hypersensitivity Fluorodeoxyglucose F18
Item
1. hypersensitivity to fluorine18 fludeoxyglucose (fdg)
boolean
C0020517 (UMLS CUI [1,1])
C0046056 (UMLS CUI [1,2])
Hypersensitivity Iodinated contrast media
Item
2. hypersensitivity to iodinated contrast media
boolean
C0020517 (UMLS CUI [1,1])
C1960405 (UMLS CUI [1,2])
Poorly controlled diabetes mellitus
Item
3. poorly controlled diabetes
boolean
C0554876 (UMLS CUI [1])
Kidney Failure | Renal Insufficiency Moderate | Estimated Glomerular Filtration Rate
Item
4. acute renal failure or moderate renal impairment (estimated glomerular filtration rate < 30 ml/min)
boolean
C0035078 (UMLS CUI [1])
C1565489 (UMLS CUI [2,1])
C0205081 (UMLS CUI [2,2])
C3811844 (UMLS CUI [3])
Claustrophobia Excludes Imaging
Item
5. claustrophobia precluding imaging
boolean
C0008909 (UMLS CUI [1,1])
C0332196 (UMLS CUI [1,2])
C0011923 (UMLS CUI [1,3])
Uncontrolled pain
Item
6. uncontrolled pain
boolean
C0747149 (UMLS CUI [1])
Urinary Incontinence
Item
7. urinary incontinence
boolean
C0042024 (UMLS CUI [1])
Pregnancy | Childbearing Potential Contraceptive methods
Item
8. female patients must not be pregnant and if of child bearing age using adequate contraception
boolean
C0032961 (UMLS CUI [1])
C3831118 (UMLS CUI [2,1])
C0700589 (UMLS CUI [2,2])
Breast Feeding
Item
9. breast feeding
boolean
C0006147 (UMLS CUI [1])
Comorbidity Serious Psychiatric
Item
10. serious psychiatric comorbidity
boolean
C0009488 (UMLS CUI [1,1])
C0205404 (UMLS CUI [1,2])
C0205487 (UMLS CUI [1,3])
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