Get 6687 P4 Form Completion Instructions V2.0.docx. P4 Form - Acrin

The 6687 P4 Form is an essential document required for participants in the ACRIN 6687 study. This guide provides step-by-step instructions to assist users in accurately completing the form, ensuring compliance and consistency in PET/CT imaging documentation.

Follow the steps to fill out the P4 Form effectively.

1. Click ‘Get Form’ button to obtain the 6687 P4 Form and open it in your preferred editor.
2. In Part I, begin by recording the clinical trial time point. Ensure you choose the mandatory response indicating this is Visit 4: Post-Treatment.
3. Next, for the Date of PET Exam, input the date when the PET exam was performed, following the mm-dd-yyyy format. This is also a mandatory field and must not be a future date.
4. For the Date of PET Interpretation, enter the date the PET was interpreted by the radiologist. Note that this date should not precede the Date of PET Exam or be in the future.
5. Insert the Name of Reader, ensuring this mandatory field is accurately populated.
6. In the Reader ID field, include the required 7 alphanumeric character user-specific ID.
7. Record the Actual treatment date, indicating when the treatment started.
8. Provide image quality information as applicable in the corresponding fields Q7 and 7a.
9. Confirm if minimal guidelines for scanning were adhered to, based on the protocol outlined.
10. In Part II regarding Tumors, record the total number of visible tumors. Ensure you follow chart instructions which dictate that all tumors recorded on the P2 form be included, even if they are no longer visible.
11. Fill out the Tumor ID#, Anatomic Site, Site Description, PET Slices, and SUV Max fields accordingly. Ensure that tumors are recorded as indicated and that the system's limits for entries are followed.
12. In Part III for Normal Bone matched to Tumor, report the total number of normal bone regions to be recorded, up to five if applicable.
13. Complete the chart by listing Normal Bone ID#, Anatomic Site, Site Description (noting if disease is suspected), PET Slices, and SUV Max for each matching normal bone region. Ensure consistency with entries from the P2 form.
14. After completing the form, review entered information for accuracy, then save changes. You can choose to download, print, or share the completed form as necessary.

Begin filling out your 6687 P4 Form online today for accurate and efficient documentation.