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Bristol CT/MRI Reporting Form 2: Response to CRT

This form is to be filled in by the Bristol Medical Centre after the reading of the CT/MRI scans

Procedure to be Used Upon Receipt of CT-MRI Scans - SOP to be used by the Bristol Royal Infirmary centre when receiving scans to be read from other centres

Scan Type (required)
Response in Primary Tumour (required)
Response in Nodes (required)
Distant Metastases Detected (required)
If ‘Yes’, Indicate Type
Is there concordance between readings of Core Lab and Local Report? (required)
If ‘No’, Indicate here which report was accepted
Privacy notice
The information provided will be used solely for the PET-Neck Trial

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