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Paul Strickland PET-CT Response Form

This form is for use by Paul Strickland Scanner Centre to submit the results of the 2nd reading.

Procedure to be Used Upon Receipt of PET-CT Scans - SOP to be used by the Paul Strickland Scanner Centre when receiving scans to be read from other centres

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

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

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