| New Bone Lesions |
| New Bone Lesions (Total Number Option) |
| Response Criteria |
|
| Tumor/Lesion Type |
|
| Were any new bone lesions identified? |
Yes No |
| Date of Procedure |
|
| Evaluator |
Investigator Independent Assessor |
| Evaluator Identifier |
Radiologist 1 Radiologist 2 Oncologist |
| Method of Evaluation |
Scintigraphy CT Scan Other |
| If Other, Specify Method of Evaluation |
|
| What assessment will be used as a reference to evaluate this scan? |
Baseline Flare Assessment Last Scan |
| What was the number of new bone lesions identified since reference scan? |
|
| Location |
|
| Bone Lesion ID |
|
| Are there two or more persisting new bone lesions since the last scan? |
Yes No |
| Are there 2 or more new bone lesions since the reference scan? |
Yes No |