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SEER-Linked Virtual Tissue Repository (VTR) Program
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data-bs-target="#leftNav"><span>Section Menu</span></button> <ol class="breadcrumb"><li class="breadcrumb-item"><a href="/">Home</a> </li><li class="breadcrumb-item"><a href="/about/">About SEER</a> </li><li class="breadcrumb-item mobile-crumb"><a href="/about/activities.html">Research Activities</a> </li><li class="breadcrumb-item" aria-current="page">SEER-Linked Virtual Tissue Repository (VTR) Program</li></ol> <h1><!--body_title-->SEER-Linked Virtual Tissue Repository (VTR) Program<!--/body_title--></h1> </div> </div> <div class="container-lg body ps-lg-0 pb-4"><img src="/i/left-body.png" alt="" class="bg-front"> <div class="row"> <!-- Smaller, Aside Column --> <div class="col-lg-3"> <div class="leftNav-wrap"> <nav class="subNav leftNav" aria-label="About SEER"> <strong><a href="/about/">About SEER</a></strong> <ul> <li> <a href="/about/overview.html">Program Overview</a> <ul> <li><a href="/about/goals.html">Goals of the SEER Program</a></li> <li><a href="/about/factsheets/">Fact Sheets & Brochures</a></li> <li><a href="/about/organizations.html">Collaborating Organizations</a></li> </ul> </li> <li> <a href="/registries/">SEER Registries</a> <ul> <li><a href="/registries/cancer_registry/">What is a Cancer Registry?</a> <ul> <li><a href="/registries/cancer_registry/cancer_registry.html">Cancer Registry</a></li> <li><a href="/registries/cancer_registry/data_collection.html">Data Collection, Storage, & Management</a></li> <li><a href="/registries/cancer_registry/dissemination.html">Dissemination</a></li> <li><a href="/registries/cancer_registry/analysis.html">Analysis</a></li> <li><a href="/registries/cancer_registry/research_application.html">Research Application</a></li> <li><a href="/registries/cancer_registry/resources.html">Resources</a></li> </ul> </li> <li><a href="/registries/list.html">List of Registries</a></li> <li><a href="/registries/terms.html">Registry Groupings in SEER Data and Statistics</a></li> <li><a href="/registries/characteristics.html">Population Characteristics</a></li> </ul> </li> <li><a href="/about/activities.html">Research Activities</a> <ul> <li><a href="/biospecimen/">Residual Tissue Repository Program</a> <ul> <li><a href="/biospecimen/resources.html">Pancreatic Tissue Microarray</a></li> <li><a href="/biospecimen/application.html">Applying for Specimens</a></li> <li><a href="/biospecimen/registries.html">Participating Registries</a></li> <li><a href="/biospecimen/regulations.html">Research Regulations</a></li> <li><a href="/biospecimen/publications.html">Accomplishments & Publications</a></li> </ul> </li> <li><a class="active" href="/vtr/">SEER-Linked Virtual Tissue Repository (VTR) Program</a> <ul> <li><a href="/vtr/data.html">Data & Biospecimens</a></li> <li><a href="/vtr/request.html">Request Inquiry & Submissions</a></li> <li><a href="/vtr/cost.html">Cost Structure, Fees, & Payments</a></li> <li><a href="/vtr/faq.html">FAQs</a></li> <li><a href="/vtr/study-info-form.html">Study Information Form (F1)</a></li> <li><a href="/vtr/study-request-form.html">Study Request Form (F2)</a></li> <li><a href="/vtr/contact.html">Contact Us</a></li> </ul> </li> </ul> </li> <li> <a href="/qi/">SEER Quality Improvement</a> <ul> <li><a href="/qi/process.html">Quality Improvement Process</a></li> <li><a href="/qi/tools/">Quality Improvement Tools</a></li> <li><a href="/qi/publications.html">Publications</a></li> <li><a href="/qi/education.html">Education & Training</a></li> </ul> </li> </ul> </nav> </div> </div> <!-- Main Content Column --> <main class="col-lg-9" id="content" role="main"> <a name="skipnav" id="skipnav" tabindex="-1"></a> <!--body_content--><div class="callout"> <h2>Why is a population-based biorepository so critical?</h2> <ul> <li>Currently, most tissue-based research is conducted using specimens from people enrolled in clinical trials or investigator-initiated studies conducted at a small number of institutions.</li> <li>The participants in these studies are not necessarily representative of the United States population.</li> </div> <h2>About the SEER-Linked Virtual Tissue Repository (VTR) Program</h2> <p>The Surveillance Research Program (SRP) is addressing this lack of specimens for population-based cancer research by establishing an infrastructure for researchers and other investigators to obtain de-identified, but linked, tissue and data on cancer cases ascertained by the SEER Program cancer registries. In addition to exploring other cancer research questions, investigators can study the following types of cancer cases through the SEER-Linked VTR Program.</p> <ul> <li>Cancers among underrepresented population subgroups</li> <li>Rare cancers</li> <li>Cancer cases with unusual cancer outcomes</li> <li>Early onset cancers</li> <li>Cases with multiple diagnoses of a primary cancer</li> </ul> <p class="d-inline">Participating SEER Program registries function as <div class="modalItem"> <div class="modalItem-trigger"> <a data-bs-toggle="modal" data-bs-target="" class="honest">honest brokers</a> </div> <div class="modalItem-content"> <div class="modalItem-title">What is an Honest broker?</div> <div class="modalItem-body"> <p>A neutral intermediary (person or system) between the researcher and the individual whose tissue and data are being studied.</p> <p>For more information visit the <a href="https://www.hhs.gov/ohrp/sachrp-committee/recommendations/2011-october-13-letter-attachment-d/index.html#:~:text=HONEST%20BROKER%20means%3A,being%20studied%2C%20and%20the%20researcher." target="_blank">HHS website</a>.</p> </div> </div> </div> for providing researchers with de-identified, but linked, archival, formalin-fixed, paraffin-embedded (FFPE) tissue from clinical care and/or clinical data obtained from medical record abstraction for secondary use in cancer research (Figure 1). Researchers may also request de-identified demographic information, outcomes, pathology reports, custom clinical data collection, and/or digital whole slide images (WSIs).</p> <p>Current VTR Program Registries have received approval of their local Institutional Review Board (IRB) and include:</p> <ul> <li><a href="https://www.kcr.uky.edu/">Kentucky Cancer Registry</a><a class="extlink" href="https://www.cancer.gov/policies/linking"><img src="/images/exit.png" alt="External Web Site Policy" title="External Web Site Policy"></a></li> <li><a href="https://sph.lsuhsc.edu/louisiana-tumor-registry/">Louisiana Tumor Registry</a><a class="extlink" href="https://www.cancer.gov/policies/linking"><img src="/images/exit.png" alt="External Web Site Policy" title="External Web Site Policy"></a></li> </ul> <p>The SEER-Linked VTR Program will prioritize academic projects.</p> <div class="modalItem"> <div class="modalItem-trigger"> <figure> <figcaption>Figure 1: How does the SEER-Linked VTR Program work?</figcaption> <a data-bs-toggle="modal" data-bs-target=""> <img src="/i/vtr/process.png" alt="request process" /> <p>View larger image</p> </a> </figure> </div> <div class="modalItem-content"> <div class="modalItem-title">Figure 1: How does the SEER-Linked VTR Program work? </div> <div class="modalItem-body"> <img src="/i/vtr/process.png" alt="request process" /> <p>Following are the general steps in the SEER-Linked VTR Program operations. For details about request submission visit <a href="request.html">VTR Request Inquiry & Submissions</a>.</p> <ol> <li>Investigator submits request to SEER-Linked VTR Program.</li> <li>Study is reviewed by NCI and SEER VTR Registries.</li> <li>SEER VTR Registry meets with investigator about study design, and investigator submits the final request.</li> <li>SEER VTR Registries act as honest brokers to request (a) clinical records and/or (b) FFPE tissue. </li> <li>Treating facilities and pathology laboratories send (a) clinical records and/or (b) FFPE tissue to the SEER VTR Registry for processing and de-identification. <li>SEER VTR Registry sends de-identified, linked data and/or tissue the investigator.</li> </ol> </div> </div> </div> <h2>Rationale for SEER Registries as Honest Brokers</h2> <p>The SEER cancer registry system serves as an ideal infrastructure for the development of a VTR for the following reasons. 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