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Projekt - IMROZ-protokol

Projekt - IMROZ-protokol

 

Projekttitel (inkl. kort beskrivelse af formål) – IMROZ (EFC12522)

 

A phase 3 randomized open-label, multicenter study assessing the clinical benefit of isatuximab (SAR650984) in combination with bortezomib (Velcade®), Lenalidomide (Revlimid®) and dexamethasone in patients with newly diagnosed multiple myeloma not eligible for transplant.

 

Projekt periode:

Startdato: december 2017 og derefter en gang årligt under behandling.

Patienterne skal have taget rtg. Af thorax og skelet ved opstart i forsøget, herefter rtg.af skelet årligt så længe de får behandling og ellers på klinisk indikation.

Projektansvarlig sygeplejerske: Sanne Kjær lok.63884

Ansvarlig på radiologisk afd.: Lene Ørum-Petersen

Ansvarlig radiograf: Elsebeth Hergaard

Antal forsøgspersoner: 1-5 pt.

 

Tekst på henvisning:

”IMROZ PROTOKOL”

Efter aftale med Elsebeth Hergaard ønskes Rtg. Af thorax og skelet i rum 41 i Med. hus ifm. forskningsprojekt IMROZ d. X/X-18 kl. XXX. Ved problemer/aflysning/andet kontaktes projektsygeplejerske Sanne Kjær 63884.

 

 

Markers must be used to indicate laterality (i.e., left or right)

 

Guidelines for X-ray Studies Exam

 

Anterior/Posterior

Lateral

Criteria

Skull

AP Skull

 

Entire Cranium should be included

Detail of sella turcica, mastoid region, anterior clinoid process and temporomandibular joints should be demonstrated.

 

 

Cervical Spine

C3 to T2

C1 to C7

Additional view of the cervicothoracic regions as needed to view C7.

 

Thoracic Spine

T1 to T12

T1 to T12

To view upper and lower thoracic regions, a wide latitude of exposure or two radiographs should be performed.

 

Lumbar Spine

Lower thoracic to coccyx with the Sacroiliac joint

Lower thoracic to coccyx

Entire vertebral bodies and spinous processes demonstrated.

 

Pelvis

Entire pelvis and proximal femurs

 

N/A

Upper Extremity

Shoulder and elbow joints included

 

N/A

Lower Extremity

The hip, femoral shaft and knee

N/A

A second projection of the distal joint is recommended.

 

Ribs

Ribs above the diaphragm imaged at end of inspiration and ribs below the diaphragm imaged at end of expiration

 

N/A

 

 

Billederne skal blymarkeres!

 

Følgende billeder skal udføres:

 

Kranie

AP – lateral

 

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0001.jpeg

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0002.jpeg

 

 

 

Col. Cervicalis

AP (C3 til T2)

Lateral (C1 til C7)

http://e-dok.rm.dk/C12571E9002BFB60/$CXIV/ERAN7SDFPE/$File/ERAN7SDFPC.gif

Billede 4

Additional view of the cervicothoracic regions as needed to view C7. (Evt. Svømmer)

 

 

 

 

 

Col. Thoracalis

AP (T1 til T12)

Lateral (T1 til T12)

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0006.jpeg

http://e-dok.rm.dk/C12571E9002BFB60/$CXIV/ERAN7SDF3E/$File/ERAN7SDF3C.gif

 

Col. Lumbalis

AP (Lower thoracic to coccyx with the Sacroiliac joint)

Lat (Lower thoracic to coccyx )

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0008.jpeg

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0009.jpeg

Entire vertebral bodies and spinous processes demonstrated.

 

 

 

 

Bækken

AP

 

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0010.jpeg

 

 

Humerus

 

AP (inkl. skulder og albue)

 

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0011.jpeg

 

 

 

 

 

 

Femur

AP (inkl. Hofte og knæ)

 

http://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0013.jpeghttp://pri.rn.dk/overview/_layouts/SLIPWeb/Blob.ashx?topicid=efc5de3ff1264de000257b97002e5a35&name=topic1_img0014.jpeg

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Thorax i expiration og i inspiration med henblik på costae: Obs! Lavere kW -70-75 kW samt afstand 110 cm.

AP/PA (May be submitted in lieu of chest X-ray. Should include all lung fields.)

https://pri.rn.dk/Assets/18063/da371a82d1ac45f3b62852780feae4bc/L7ba632f9929847c193af6593c7d6e692.png

Inspiration

https://pri.rn.dk/Assets/18063/da371a82d1ac45f3b62852780feae4bc/L7ba632f9929847c193af6593c7d6e692.png

Expiration

 

(Ribs above the diaphragm imaged at end of inspiration and ribs below the diaphragm imaged at end of expiration