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Comment: Ex4 is IRC not INV. Ex 6 is both IRC and INV

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4 Examples for the Oncology Disease Response Domains Model for RECIST 1.1

4.1 Example 1: RECIST 1.1 example to show investigator response (RS) data and the underlying tumor identification (TU), tumor results (TR), procedure (PR) data and trial disease assessment (TD) data.  

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The example shows the case where lymph nodes are selected as target lesions. The tumor identifier is in TULNKID and matches TRLNKIDs in the TR Domain. The image identifiers are in TUREFID and TRREFID in the TU and TR domains, respectively, and they match the image identifiers in PRREFID in the PR Domain.

4.1.1 RS Domain Model

The rs.xpt table below shows the terminology used to implement RECIST 1.1 in the RS domain. This example shows the data for one subject collected at the week 6, week 12 and subsequent 8-week follow-up visits.

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Dataset wrap
Namepr
Rowcaps

Rows 1-3: Show the scans performed at screening. The results of the scans are in TU and TR.

Rows 4-6: Show that the MRI and CT scan were performed (PROCCUR = "Y") and that the medical photography was not performed (PROCCUR = "N") at week 6.

Rows 7-22: Show the scans performed at weeks 12, 20, 28, 36 and 44. The results of the scans are in TU and TR. In row 22, a non-RECIST 1.1 method was used and this example shows a way to represent the additional scan in PR, i.e., "ULTRASOUND".

Dataset2
RowSTUDYIDDOMAINUSUBJIDPRSEQPRREFIDPRLNKGRPPRTRTPRPRESPPROCCURPRLOCEPOCHVISITNUMVISITPRSTDTCPRSTDY
1EX11111PR900011IMG-00001A1MRIYYHEAD AND NECKSCREEN10SCREENING2010-01-01-3
2EX11111PR900012IMG-00002A1CT SCANYYCHESTSCREEN10SCREENING2010-01-02-2
3EX11111PR900013IMG-00003A1PHOTOGRAPHYYYSKIN OF THE TRUNKSCREEN10SCREENING2010-01-03-1
4EX11111PR900014IMG-00004A2MRIYYHEAD AND NECKTREATMENT40WEEK 62010-02-1543
5EX11111PR900015IMG-00005A2CT SCANYYCHESTTREATMENT40WEEK 62010-02-1644
6EX11111PR900016
A2PHOTOGRAPHYYNSKIN OF THE TRUNKTREATMENT40WEEK 6

7EX11111PR900017IMG-00007A3MRIYYHEAD AND NECKTREATMENT60WEEK 122010-03-2985
8EX11111PR900018IMG-00008A3CT SCANYYCHESTTREATMENT60WEEK 122010-03-3086
9EX11111PR900019IMG-00009A3PHOTOGRAPHYYYSKIN OF THE TRUNKTREATMENT60WEEK 122010-04-0187
10EX11111PR9000110IMG-00010A4MRIYYHEAD AND NECKTREATMENT80WEEK 202010-05-27144
11EX11111PR9000111IMG-00011A4CT SCANYYCHESTTREATMENT80WEEK 202010-05-28145
12EX11111PR9000112IMG-00012A4PHOTOGRAPHYYYSKIN OF THE TRUNKTREATMENT80WEEK 202010-05-30147
13EX11111PR9000113IMG-00013A5MRIYYHEAD AND NECKTREATMENT100WEEK 282010-07-23201
14EX11111PR9000114IMG-00014A5CT SCANYYCHESTTREATMENT100WEEK 282010-07-24202
15EX11111PR9000115IMG-00015A5PHOTOGRAPHYYYSKIN OF THE TRUNKTREATMENT100WEEK 282010-07-25203
16EX11111PR9000116IMG-00016A6MRIYYHEAD AND NECKTREATMENT120WEEK 362010-09-17257
17EX11111PR9000117IMG-00017A6CT SCANYYCHESTTREATMENT120WEEK 362010-09-17257
18EX11111PR9000118IMG-00018A6PHOTOGRAPHYYYSKIN OF THE TRUNKTREATMENT120WEEK 362010-09-17257
19EX11111PR9000119IMG-00019A7MRIYYHEAD AND NECKTREATMENT140WEEK 442010-11-14313
20EX11111PR9000120IMG-00020A7CT SCANYYCHESTTREATMENT140WEEK 442010-11-15314
21EX11111PR9000121IMG-00021A7PHOTOGRAPHYYYSKIN OF THE TRUNKTREATMENT140WEEK 442010-11-16315
22EX11111PR9000122IMG-00022A7ULTRASOUND

PELVISTREATMENT140WEEK 442010-11-16315

4.2 Example 2: RECIST 1.1 example to show investigator response (RS) data and the

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underlying tumor identification (TU), and tumor results (TR) data.

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This example shows the preferred representation of split (fragmented) and merged (coalesced) tumors. The tumor identifier is in TULNKID and matches TRLNKIDs in the TR Domain. 

4.2.1 RS Domain Model

The rs.xpt table below shows the terminology used to implement RECIST 1.1 in the RS domain. This example shows the data for one subject collected at the week 8 and subsequent 8-week follow-up visits. 

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Dataset wrap
Nametr
Rowcaps

Rows 1-32: Show RECIST 1.1 assessments of target and non-target lesions at screening, week 8, week 16 and week 24.

Rows 33-39: Show that the scans of target and non-target lesions were not done at week 32.

Dataset2
RowSTUDYIDDOMAINUSUBJIDTRSEQTRGRPIDTRLNKGRPTRLNKIDTRTESTCDTRTESTTRORRESTRORRESUTRSTRESCTRSTRESNTRSTRESUTRSTATTRREASNDTRMETHODTREVALEPOCHVISITNUMVISITTRDTCTRDY
1EX33333TR900031TARGETA1T01LDIAMLongest Diameter16mm1616mm

CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
2EX33333TR900032TARGETA1T02LDIAMLongest Diameter28mm2828mm

CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
3EX33333TR900033TARGETA1T03LDIAMLongest Diameter41mm4141mm

CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
4EX33333TR900034TARGETA1T04LDIAMLongest Diameter82mm8383mm

CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
5EX33333TR900035TARGETA1
SUMLDIAMSum of Longest Diameter167mm168168mm


INVESTIGATORSCREEN1SCREENING

6EX33333TR900036NON-TARGETA1NT01TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
7EX33333TR900037NON-TARGETA1NT02TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
8EX33333TR900038NON-TARGETA1NT03TUMSTATETumor StatePRESENT
PRESENT



SCINTIGRAPHYINVESTIGATORSCREEN1SCREENING2007-01-011
9EX33333TR900039TARGETA2T01LDIAMLongest Diameter10mm1010mm

CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
10EX33333TR9000310TARGETA2T02LDIAMLongest Diameter20mm2020mm

CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
11EX33333TR9000311TARGETA2T03LDIAMLongest Diameter30mm3030mm

CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
12EX33333TR9000312TARGETA2T04LDIAMLongest Diameter65mm6565mm

CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
13EX33333TR9000313TARGETA2
SUMLDIAMSum of Longest Diameter125mm125125mm


INVESTIGATORTREATMENT3WEEK 8

14EX33333TR9000314NON-TARGETA2NT01TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
15EX33333TR9000315NON-TARGETA2NT02TUMSTATETumor StateABSENT
ABSENT



CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
16EX33333TR9000316NON-TARGETA2NT03TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDSCINTIGRAPHYINVESTIGATORTREATMENT3WEEK 8

17EX33333TR9000317TARGETA3T01LDIAMLongest DiameterTOO SMALL TO MEASUREmm55mm

CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
18EX33333TR9000318TARGETA3T02LDIAMLongest Diameter12mm1212mm

CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
19EX33333TR9000319TARGETA3T03LDIAMLongest Diameter15mm1515mm

CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
20EX33333TR9000320TARGETA3T04LDIAMLongest Diameter40mm4040mm

CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
21EX33333TR9000321TARGETA3
SUMLDIAMSum of Longest Diameter72mm7272mm


INVESTIGATORTREATMENT5WEEK 16

22EX33333TR9000322NON-TARGETA3NT01TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
23EX33333TR9000323NON-TARGETA3NT02TUMSTATETumor StateABSENT
ABSENT



CT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
24EX33333TR9000324NON-TARGETA3NT03TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDSCINTIGRAPHYINVESTIGATORTREATMENT5WEEK 16

25EX33333TR9000325TARGETA4T01LDIAMLongest Diameter0mm00mm

CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
26EX33333TR9000326TARGETA4T02LDIAMLongest Diameter15mm1515mm

CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
27EX33333TR9000327TARGETA4T03LDIAMLongest Diameter5mm55mm

CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
28EX33333TR9000328TARGETA4T04LDIAMLongest Diameter36mm3636mm

CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
29EX33333TR9000329TARGETA4
SUMLDIAMSum of Longest Diameter56mm5656mm


INVESTIGATORTREATMENT7WEEK 24

30EX33333TR9000330NON-TARGETA4NT01TUMSTATETumor State




NOT DONENOT EVALUABLECT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
31EX33333TR9000331NON-TARGETA4NT02TUMSTATETumor StateABSENT
ABSENT



CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
32EX33333TR9000332NON-TARGETA4NT03TUMSTATETumor StatePRESENT
PRESENT



SCINTIGRAPHYINVESTIGATORTREATMENT7WEEK 242009-06-26175
33EX33333TR9000333TARGETA5T01LDIAMLongest Diameter




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

34EX33333TR9000334TARGETA5T02LDIAMLongest Diameter




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

35EX33333TR9000335TARGETA5T03LDIAMLongest Diameter




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

36EX33333TR9000336TARGETA5T04LDIAMLongest Diameter




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

37EX33333TR9000337NON-TARGETA5NT01TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

38EX33333TR9000338NON-TARGETA5NT02TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDCT SCANINVESTIGATORTREATMENT9WEEK 32

39EX33333TR9000339NON-TARGETA5NT03TUMSTATETumor State




NOT DONESCAN NOT PERFORMEDSCINTIGRAPHYINVESTIGATORTREATMENT9WEEK 32

4.4 Example 4: RECIST 1.1 example to show

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independent assessor response (RS) data and the underlying tumor identification (TU), tumor results (TR) data. This example shows the use of the acceptance flag to identify records when multiple assessments are performed by independent assessors (Radiologist 1 and Radiologist 2) for the same timepoint.

4.4.1 RS Domain Model

The rs.xpt table below shows the terminology used to implement RECIST 1.1 in the RS domain. This example shows the data for one subject collected at week 8 and week 16. 

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Dataset wrap
Nametr
Rowcaps

Rows 1-11: Show the longest diameter and sum of longest diameter for the target lesion. The subject only has one target lesion and no non-targets.

Rows 3-6: Show assessment where the target lesion is absent. The longest diameter is shown as "0". If a sponsor collects that the tumor is absent rather than entering the longest diameter as "0", then the sponsor may optionally derive the longest diameter as "0" and represent the tumor state as ABSENT, if desired. 

Row 12: Shows a new lesion state at week 24.

Dataset2
RowSTUDYIDDOMAINUSUBJIDTRSEQTRGRPIDTRLNKGRPTRLNKIDTRTESTCDTRTESTTRORRESTRORRESUTRSTRESCTRSTRESNTRSTRESUTRSTATTRREASNDTRMETHODTREVALEPOCHVISITNUMVISITTRDTCTRDY
1EX55555TR900051TARGETA1T01LDIAMLongest Diameter10mm1010mm

CT SCANINVESTIGATORSCREEN1SCREENING2007-01-021
2EX55555TR900052TARGETA1
SUMLDIAMSum of Longest Diameter10mm1010mm


INVESTIGATORSCREEN1SCREENING

3EX55555TR900053TARGETA2T01LDIAMLongest Diameter0mm00mm

CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
4EX55555TR900054TARGETA2T01TUMSTATETumor StateABSENT
ABSENT



CT SCANINVESTIGATORTREATMENT3WEEK 82007-02-2756
5EX55555TR900055TARGETA2
SUMLDIAMSum of Longest Diameter0mm00mm


INVESTIGATORTREATMENT3WEEK 8

6EX55555TR900056TARGETA3T01LDIAMLongest Diameter0mm00mm

CT SCANINVESTIGATORTREATMENT4.1UNCHEDULED WEEK 132007-04-0391
7EX55555TR900057TARGETA3T01TUMSTATETumor StateABSENT
ABSENT



CT SCANINVESTIGATORTREATMENT4.1UNCHEDULED WEEK 132007-04-0391
8EX55555TR900058TARGETA3
SUMLDIAMSum of Longest Diameter0mm00mm


INVESTIGATORTREATMENT4.1UNCHEDULED WEEK 13

9EX55555TR900059TARGETA4T01LDIAMLongest Diameter




NOT DONENOT EVALUABLE: Motion issueCT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
10EX55555TR9000510TARGETA4T01TUMSTATETumor State




NOT DONENOT EVALUABLE: Motion issueCT SCANINVESTIGATORTREATMENT5WEEK 162007-04-24112
11EX55555TR9000511TARGETA4
SUMLDIAMSum of Longest Diameter




NOT DONE

INVESTIGATORTREATMENT5WEEK 16

12EX55555TR9000512TARGETA5T01LDIAMLongest Diameter5mm55mm

CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
13EX55555TR9000513TARGETA5T01TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168
14EX55555TR9000514TARGETA5
SUMLDIAMSum of Longest Diameter5mm55mm


INVESTIGATORTREATMENT7WEEK 24

15EX55555TR9000515NEWA5NEW01TUMSTATETumor StatePRESENT
PRESENT



CT SCANINVESTIGATORTREATMENT7WEEK 242009-06-19168

4.6 Example 6: RECIST 1.1 example to show investigator and independent assessor response (RS) data and the underlying tumor identification (TU) and tumor results (TR) data. This example shows the investigator tumor identification, tumor results, and response data using RECIST 1.1 along with the independent radiologist's tumor identification, tumor results, and response data using volumetric measurements. 

4.6.1 RS Domain Model

The rs.xpt table below shows the terminology used to implement RECIST 1.1 in the RS domain. This example to show investigator tumor identification, tumor results, and response data using RECIST 1.1 and the independent radiologist's tumor identification, tumor results, and response data using bi-dimensional and volumetric measurements. 

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