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Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity
is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip
the pipeline's suppression passes); the authoritative classification is the stored
event record.
Plain-language summary
Manual review pending.
Rules fired
arms_or_interventions_changeeligibility_criteria_changeenrollment_count_change
Value signals
[
{
"path": "/protocolSection/designModule/enrollmentInfo/count",
"signal": "enrollment_count_change_ge_20pct",
"category": "enrollment_change",
"severity": "high",
"new_value": 112,
"old_value": 155,
"pct_change": 0.2774
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 18:59:09+00
Raw hash 73385ead45846f80a64f9758004eae8477d8481c5c57b54716e5c2a24626cb90 Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 3 ops replace /protocolSection/designModule/enrollmentInfo/count
Triage: High Enrollment Change Operation 4
Matched rules enrollment_count_change Enrollment count changes can signal scope or feasibility shifts. replace /protocolSection/armsInterventionsModule/armGroups/0/description
Triage: High Arm Intervention Change Operation 5
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. Before
Physical examination by MD, optional Breast MRI, Breast-Q© at baseline (after permanent implant exchange, physical exam and Breast-Q© may be done after the initiation of IMRT), 12 ± 2 months and 24 ± 2 months post- IMRT.
Total length of the follow-up time will be 24 ± 2 months post-IMRT.
A subset of 10 left-sided patients will receive 13N-NH3 PET scans within the radiation simulation session.
A CT for coronary calcium scoring and a low-dose CT for attenuation correction will also be obtained at this time.
Myocardial blood flow will be measured during rest and at peak stress with 13N-NH3 as a perfusion tracer.
A follow-up 13N-NH3 PET study with low-dose CT for attenuation correction will be obtained 12-18 months (+ 2 months) post-IMRT. After
Physical examination by MD, optional Breast MRI, Breast-Q© at baseline (after permanent implant exchange, physical exam and Breast-Q© may be done after the initiation of IMRT), 12 ± 2 months and 24 ± 2 months post- IMRT.
Total length of the follow-up time will be 24 ± 2 months post-IMRT.
A subset of 10 left-sided patients will receive 13N-NH3 PET scans within the radiation simulation session.
A CT for coronary calcium scoring and a low-dose CT for attenuation correction will also be obtained at this time.
Myocardial blood flow will be measured during rest and at peak stress with 13N-NH3 as a perfusion tracer.
A follow-up 13N-NH3 PET study with low-dose CT for attenuation correction will be obtained 12-18 months (± 6 months) post-IMRT. replace /protocolSection/armsInterventionsModule/armGroups/1/description
Triage: High Arm Intervention Change Operation 6
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. Before
Physical examination by MD, optional Breast MRI, Breast-Q © at baseline (after permanent implant exchange and after IMRT), 18 ± 2 months and 30 ± 2 months post-IMRT, as these patients will undergo exchange of the temporary expander for the permanent implant approximately 5-8 months following the completion of radiation (at the discretion of the treating plastic surgeon).
Total length of the follow-up time will be 30 ± 2 months post-IMRT After
Physical examination by MD, optional Breast MRI, Breast-Q © at baseline (after permanent implant exchange and after IMRT), 18 ± 2 months and 30 ± 2 months post-IMRT, as these patients will undergo exchange of the temporary expander for the permanent implant approximately 4-8 months following the completion of radiation (at the discretion of the treating plastic surgeon).
Total length of the follow-up time will be 30 ± 2 months post-IMRT Eligibility Criteria and population definition changes. Triage: High 1 ops replace /protocolSection/eligibilityModule/eligibilityCriteria
Triage: High Eligibility Change Operation 7
Matched rules eligibility_criteria_change Eligibility criteria changes can alter the studied population. Before
<p>Inclusion Criteria:</p><ul><li>Females who are age ≥ 18 years of age with a life expectancy estimated to be at least 2 years</li><li>Histologically-confirmed invasive breast cancer by MSKCC</li><li>Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1</li><li>Status post mastectomy with surgical assessment of axillary nodes</li><li>Immediate reconstruction with tissue expander (Group 2) or permanent implant (Group 1) prior to RT performed at MSKCC</li><li>If PMRT is recommended, the treatment fields will include the axillary, supraclavicular, and internal mammary nodes.</li></ul><p>Exclusion Criteria:</p><ul><li>Absence of a breast reconstruction prior to RT (placement of tissue expander is sufficient for group 2)</li><li>Pregnant or breastfeeding.</li><li>Psychiatric or addictive disorders that would preclude obtaining informed consent or filling out Breast-Q© questionnaires.</li><li>Prior radiation therapy to the ipsilateral breast/nodes or thorax.</li></ul> After
<p>Inclusion Criteria:</p><ul><li>Females who are age ≥ 18 years of age with a life expectancy estimated to be at least 2 years</li><li>Histologically-confirmed invasive breast cancer by MSKCC</li><li>Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1</li><li>Status post mastectomy with surgical assessment of axillary nodes</li><li>Immediate reconstruction with tissue expander (Group 2) or permanent implant (Group 1) prior to RT performed at MSKCC</li><li>If PMRT is recommended, the treatment fields will include the axillary, supraclavicular, and internal mammary nodes.</li></ul><p>Exclusion Criteria:</p><ul><li>Absence of a breast reconstruction prior to RT (placement of tissue expander is sufficient for group 2)</li><li>Pregnant or breastfeeding.</li><li>Psychiatric or addictive disorders that would preclude obtaining informed consent or filling out Breast-Q© questionnaires.</li><li>Prior radiation therapy to the ipsilateral breast/nodes or thorax.</li><li>The criterias outlined above apply to the patients enrolled to meet the primary objective of the study.
Additional criteria for patients in the cardiac substudy portion of the protocol are outlined in the protocol</li></ul> Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 1
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 2
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 3
Raw JSON Patch [
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2016-05"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2016-05-20"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2016-05-23"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 112
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/0/description",
"value": "Physical examination by MD, optional Breast MRI, Breast-Q© at baseline (after permanent implant exchange, physical exam and Breast-Q© may be done after the initiation of IMRT), 12 ± 2 months and 24 ± 2 months post- IMRT.\nTotal length of the follow-up time will be 24 ± 2 months post-IMRT.\nA subset of 10 left-sided patients will receive 13N-NH3 PET scans within the radiation simulation session.\nA CT for coronary calcium scoring and a low-dose CT for attenuation correction will also be obtained at this time.\nMyocardial blood flow will be measured during rest and at peak stress with 13N-NH3 as a perfusion tracer.\nA follow-up 13N-NH3 PET study with low-dose CT for attenuation correction will be obtained 12-18 months (± 6 months) post-IMRT."
},
{
"op": "replace",
"path": "/protocolSection/armsInterventionsModule/armGroups/1/description",
"value": "Physical examination by MD, optional Breast MRI, Breast-Q © at baseline (after permanent implant exchange and after IMRT), 18 ± 2 months and 30 ± 2 months post-IMRT, as these patients will undergo exchange of the temporary expander for the permanent implant approximately 4-8 months following the completion of radiation (at the discretion of the treating plastic surgeon).\nTotal length of the follow-up time will be 30 ± 2 months post-IMRT"
},
{
"op": "replace",
"path": "/protocolSection/eligibilityModule/eligibilityCriteria",
"value": "<p>Inclusion Criteria:</p><ul><li>Females who are age ≥ 18 years of age with a life expectancy estimated to be at least 2 years</li><li>Histologically-confirmed invasive breast cancer by MSKCC</li><li>Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1</li><li>Status post mastectomy with surgical assessment of axillary nodes</li><li>Immediate reconstruction with tissue expander (Group 2) or permanent implant (Group 1) prior to RT performed at MSKCC</li><li>If PMRT is recommended, the treatment fields will include the axillary, supraclavicular, and internal mammary nodes.</li></ul><p>Exclusion Criteria:</p><ul><li>Absence of a breast reconstruction prior to RT (placement of tissue expander is sufficient for group 2)</li><li>Pregnant or breastfeeding.</li><li>Psychiatric or addictive disorders that would preclude obtaining informed consent or filling out Breast-Q© questionnaires.</li><li>Prior radiation therapy to the ipsilateral breast/nodes or thorax.</li><li>The criterias outlined above apply to the patients enrolled to meet the primary objective of the study.\nAdditional criteria for patients in the cardiac substudy portion of the protocol are outlined in the protocol</li></ul>"
}
]