PrCa Bone Lesions


This example shows a CRF used to collect information on the number of bone lesions.



"Bone Lesions [PrCa_Bone Lesions]" Form Preview
Bone Lesions
Bone Lesions
Response Criteria
Tumor Type According to Criteria
Were any bone lesions identified? Yes  No  
Date of Procedure
 01 Jan 2000
Method of Evaluation Scintigraphy  CT Scan  Other  
If Other, Specify Method of Evaluation
Evaluator Investigator  Independent Assessor  
Evaluator Identifier Radiologist 1  Radiologist 2  Oncologist  
Location
Bone Lesion ID
Number of Bone Lesions
* Mandatory field