M.A.N.G.A.N.E.S.E. STUDY GBM Clinical Validation Patient Data Registration

M.A.N.G.A.N.E.S.E. STUDY

GBM Clinical Validation Patient Data Registration

Date of Laboratory Processing*

Processed by

Select or enter value

Patient ID Number*

Number Of Stained Slides Registered*

Stained Accession Slide 1 #*

Stained Accession Slide 2 #*

Stained Accession Slide 3 #*

Stained Accession Slide 4 #*

Number Of Unstained Slides Registered*

Unstained Accession Slide 1 #*

Unstained Accession Slide 2 #*

Unstained Accession Slide 3 #*

Unstained Accession Slide 4 #*

Mn Score*

Cu Score*

Zn Score*

Fe Score*

Radnost Score mg/g*

File Upload*

Please upload labeled histopathology images, labeled heat map images including Mn,Cu,Zn,Fe, and PDF Copy of Patient Histopathology Report

Drag and drop files here or

Send me a copy of my responses

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