TRAC Team (Tumor Response)

What is TRAC?

TRAC stands for Tumor Response Assessment by Criteria, which describes a service of reviewing medical imaging modalities with identification and measurements of characterization tumor burden/response. The TRAC reports provided are simultaneously morphologic annotations and calculations of tumor response

TRAC Mission

TRAC team provides a standardized approach to the multi-faceted process of evaluating tumor response. We use internationally established response criteria to provide quantitative assessments of tumor therapy response. Our efforts simplify the process for clinicians and principal investigators to attain comprehensive tumor response assessments. Ultimately, these reports provide straightforward and transparent results which can be shared with patients, thereby improving the patient experience.

TRAC Reports

TRAC reports provide detailed measurements for each target, non-target, and other findings as needed per response criteria. Additionally, the series and slice measured is included for ease of finding lesions in PACS or other.

Lesion Snapshots

Lesion Snapshots provide a glimpse into the actual portion of the radiology image which was measured, and shows the outline of the measurement along with the details of the measurement below the image.

Lesion Overview Chart

The Lesion Overview Chart illustrates how individual target lesions have responded in a stacked chart. This can help delineate graphically the relative response between all target lesions identified.

How to Order TRAC Reports

Enter one of the following orders and also answer the special image processing questions for Tumor Response Assessment.

  • CT 3D Tumor Response Evaluation
  • MR 3D Tumor Response Evaluation
  • PET 3D Tumor Response Evaluation

Image Key

  1. In the ordering interface, at the questions “What type of special image processing is requested”, select “Tumor Response Assessment”.
  2. Indicate whether this patient is known to participate in a research trial.
  3. REQUIRED: Select response criteria. Choose only what is required for care or documented research.
  4. Indicate whether the CT/MRI is a baseline or follow-up time point for response. REQUIRED: If follow-up, provide baseline date (when current treatment began).
  5. Provide contact info so that we may ask questions when necessary.

If EPIC ordering is not possible, please use the link below (PHI entry is permitted).

https://app.smartsheet.com/b/form/d1f37d81bebe45a68df8705d5f1a78d0

TRAC Team Services

Accomplishments

5000


Timepoint responses provided, including:
2500+ RECIST 1.1
750 Lugano/Cheson
300+ irRECIST 1.1
and 225+ irRC

100


trials have received
tumor response
assessments since 2015

30


PIs have utilized
Tumor Response Reports
from the TRAC Team.

TRAC Team Reports by Fiscal Year

2021 TRAC Reports (1200)
2020 TRAC Reports (950)
2019 TRAC Reports (675)
2018 TRAC Reports (850)

Criteria Offered

  • RECIST 1.1
  • irRECIST
  • imRECIST
  • irRC
  • Cheson
  • CHOI
  • PCWG3
  • IWCLL
  • PERCIST
  • RECIST 1.0
  • iRECIST
  • mRECIST HCC
  • mRECIST Mesothelioma
  • RANO / RANO-BM
  • Lugano
  • WHO
  • LYRIC
  • RECIST 1.1 / iRECIST

Meet the TRAC Team

Hans-Cristoph Becker

Hans-Cristoph Becker

Radiologist - Approver
Shannon Walters

Shannon Walters

Executive Technical Director
Keshni Kumar

Keshni Kumar

3D Oncologic Program Manager
Darryl Mendoza

Darryl Mendoza

Technologist - Assessor

Chris LeCastillo

Chris LeCastillo

Technologist - Assessor
Shenali Dalpethado

Shenali Dalpethado

Admin. Specialist - Organizer
Joanne Macasieb

Joanne Macasieb

Admin. Specialist - Organizer
Raman Venkatraman

Raman Venkatraman

Data Specialist - Developer