Cardiac Sparing Whole Lung IMRT in Children and Young Adults with Lung Metastases Study: A Feasibility Study

Resources

Cardiac Sparing Whole Lung (WL)-IMRT Study Reference Case

Simulation/Planning Tips

Forms

Contact Survey

Patient Registration Form

Cardiac Sparing Whole Lung IMRT Data Checklist

RT1 / IMRT Dosimetry Summary Form

Motion Management Form

RT2 Radiotherapy Total Dose Record

CRF Packet (Includes Intro & Forms below)

- Baseline Data Submission Checklist

- Follow-Up Data Submission Checklist

- Study Response Form

- Adverse Event Transmittal Form

- Off-Study Form

 Sandy Kessel, DM Manager

Quality Assurance Review Center

640 George Washington Highway, Suite 201

Lincoln, RI 02865-4207

Phone: (401) 753-7600

CardiacSparingIMRT