Prostate Cancer Tumor Response
Prostate Cancer Disease Response
Response Criteria
Was the response assessment performed?
Yes
No
Why was the response assessment not performed?
Choose
Not Imaged
Patient Refusal
Site Error
Other
Other, specify
Evaluator
Investigator
Independent Assessor
What is the evaluator identifier?
Radiologist 1
Radiologist 2
Oncologist
What was the Target Response?
Choose
Complete Response (CR)
Partial Response (PR)
Stable Disease (SD)
Progressive Disease (PD)
Not Evaluable (NE)
Not All Evaluated
Date of Procedure for Target Response
01 Jan 2000
What was the Non-target Response?
Choose
Complete Response (CR)
Non Complete Response/Non Progressive Disease (NON-CR/NON-PD)
Progressive Disease (PD)
Not Evaluable (NE)
Not All Evaluated
Date of Procedure for Non-target Response
01 Jan 2000
Was the Soft Tissue Response?
Choose
Complete Response (CR)
Partial Response (PR)
Stable Disease (SD)
Non Complete Response/Non Progressive Disease (NON-CR/NON-PD)
Progressive Disease (PD)
Not Evaluable (NE)
Date of Procedure for Soft Tissue Response
01 Jan 2000
What was the Tumor Marker Response?
Choose
Complete Response (CR)
Partial Response (PR)
Stable Disease (SD)
Not Evaluable (NE)
Not All Evaluated
Date of assessment for Tumor Marker Response
01 Jan 2000
What was the Bone Response?
Non Progressive Disease (NON-PD)
Progressive Disease (PD)
Date of Procedure for Bone Response
01 Jan 2000
What was the Overall Response?
Choose
Complete Response (CR)
Partial Response (PR)
Stable Disease (SD)
Non Complete Response/Non Progressive Disease (NON-CR/NON-PD)
Progressive Disease (PD)
Not Evaluable (NE)
Date of Procedure for Overall Response
01 Jan 2000
What was the Best Overall Response?
Choose
Complete Response (CR)
Partial Response (PR)
Stable Disease (SD)
Non Complete Response/Non Progressive Disease (NON-CR/NON-PD)
Progressive Disease (PD)
Not Evaluable (NE)
Date of Procedure for Best Overall Response
01 Jan 2000
Did the patient experience Symptomatic Deterioration?
Yes
No
Date of Symptomatic Deterioration
01 Jan 2000
*
Mandatory field