CDE Detailed Report

Disease: Mitochondrial Disease
Subdomain Name: Imaging Diagnostics
CRF: Brain Perfusion Magnetic Resonance Imaging (MRI)

Displaying 1 - 36 of 36
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C60095 Imaging arterial spin labeling single phase type delay time ImgASLSinglePhaseTypDelayTime Time period in milliseconds (ms) between labeling 'inversion time' and image acquisition 'post-labeling delay' in arterial spin labeling single phase imaging acquisition Time period in milliseconds (ms) between labeling 'inversion time' and image acquisition 'post-labeling delay' in arterial spin labeling single phase imaging acquisition If Single phase, Inversion time/post labeling delay Alphanumeric

Record time in milliseconds (ms)

Petcharunpaisan S, Ramalho J, Castillo M. Arterial spin labeling in neuroimaging. World J Radiol. 2010 Oct 28;2(10):384-98. Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:48.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

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milliseconds
C60085 Imaging preload contrast agent previous injection dose value ImgPrldContrastAgntPrevInjDoseVal Value of the dosage of the preload contrast agent previously injection Value of the dosage of the preload contrast agent previously injection If YES - Amount: (full, half, quarter, etc.) Numeric Values

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:38.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C60096 Imaging arterial spin labeling multiphase type phase count ImgASLMultiphaseTypPhaseCt Count of the number of arterial spin labeling phases in multiphase imaging acquisition Count of the number of arterial spin labeling phases in multiphase imaging acquisition If Multiphase, number of phases Numeric Values

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:49.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C60086 Imaging post processing analysis type ImgPostProcessAnalysisTyp Type of post process analysis method used in imaging Type of post process analysis method used in imaging Post processing analysis Software used;Quantitative;Software-based leakage correction Software used;Quantitative;Software-based leakage correction Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:39.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C60097 Imaging post processing analysis method quantitative indicator ImgPostProcAnalMethdQuantveInd Indicator of whether quantitative method was used for imaging post processing and analysis Indicator as to whether quantitative method was used for imaging post processing and analysis Quantitative Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:49.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60087 Imaging post processing analysis method software provided type ImgPostProcAnalProvMethSoftTyp Type of software method provided for imaging post processing and analysis Type of software method provided for imaging post processing and analysis Software Used Scanner/manufacturer provided;Provided by Other, specify Scanner/manufacturer provided;Provided by Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:40.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60098 Imaging crusher gradient use indicator ImgCrushGrdntUseInd Indicator of whether a crusher gradient was used during imaging acquisition The indicator as to whether a crusher gradient was used during imaging acquisition Crusher gradient used Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:51.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C08240 Imaging flip angle measurement ImgFlipAngleMeasr Measurement of the angle, in degrees, over which the radio frequency changes proton spin angle Measurement of the angle, in degrees over which the radio frequency changes proton spin angle Flip angle (degrees) Numeric Values

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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degree
C60088 Imaging post processing analysis method software provided type other text ImgPostProcAnalMetPrvSftTypOTH The free-text field related to 'Imaging post processing analysis method software provided type', specifying the source providing the software for imaging post processing and analysis The free-text field related to "Imaging post processing analysis method software provided type" providedfor imaging post processing and analysis Provided by Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:40.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C10578 Imaging label pulse duration ImgLablPulsDur Duration in milliseconds of the labeling pulse in imaging acquisition for the Axial Arterial Spin Labeling (ASL) MRI sequence being reported Duration in milliseconds of the labeling pulse in imaging acquisition for the Axial Arterial Spin Labeling (ASL) MRI sequence being reported Labeling pulse duration Numeric Values

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-22 16:57:17.79 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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millisecond
C60089 Imaging post processing analysis method software leakage correction indicator ImgPostPrcAnlMethSftLkCortnInd Indicator of whether software-based leakage correction method was used for imaging post processing and analysis Indicator as to whether software-based leakage correction method was used for imaging post processing and analysis Software-based leakage correction Yes;No;Unknown Yes;No;Unknown Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:41.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10839 Imaging volume count ImgVolCt The number of volume data sets acquired during the imaging scan The number of volume data sets a cquired during the imaging scan Number of volumes acquired or for how long Numeric Values

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:48:36.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C60090 Parameter map calculation other text ParamtrMapCalcTypOTH The free-text field related to 'Parameter map calculation type', specifying other text. Type(s) of parameter maps calculated for the perfusion MRI scan being reported The free-text field related to "Parameter map calculation type" specifying other text. Type(s) of parameter maps calculated for the perfusion MRI scan being reported Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:43.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C15580 Imaging acquisition type ImgAcquisitionTyp Type of imaging acquisition Type of imaging acquisition Acquisition 3D GRASE;Spiral;EPI;Other, specify 3D GRASE;Spiral;Echo Planar Imaging (EPI);Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60091 Imaging arterial spin labeling scheme type ImgASLSchemeTyp Type of arterial spin labeling scheme used in imaging Type of arterial spin labeling scheme used in imaging ASL Scheme PASL;pCASL;Other, specify Pulsed arterial spin (PASL) labeling;Pseudo-continuous arterial spin (pCASL) labeling;Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:43.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C19019 Imaging acquisition type other text ImgAcquisitionTypOTH The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-16 14:01:43.01 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C60092 Imaging arterial spin labeling scheme type other text ImgASLSchemeTypOTH The free-text field related to 'Imaging arterial spin labeling scheme type', specifying other text. Type of Arterial spin labeling scheme used in imaging The free-text field related to "Imaging arterial spin labeling scheme type" specifying other text. Type of Arterial spin labeling scheme used in imaging Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:44.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C20247 Imaging scanner model name text ImgScannerModelNameTxt The free-text field related to name of model of imaging scanner The free-text field related to the name of the imaging scanner Scanner model name Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.10 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C60093 Imaging arterial spin labeling acquisition type ImgASLAcquisitionTyp Type of arterial spin labeling used in imaging acquisition Type of arterial spin labeling used in imaging acquisition 2D or 3D acquisition 2D;3D 2-Dimensional;3-Dimensional Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:45.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60061 Imaging contrast agent dose unit of measure ImgContrastAgentDoseUOM Unit of measure for the dose of contrast agent used for the imaging scan Unit of measure for the dose of contrast agent used for the imaging scan Dosage Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:47:39.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

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C60094 Imaging arterial spin labeling phase type ImgASLPhaseTyp Type of arterial spin labeling phase used in imaging Type of arterial spin labeling phase used in imaging Phase Multiphase;Single phase Multiphase;Single phase Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:47.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60084 Imaging preload contrast agent previous injection indicator ImgPrLdContrstAgntPrevInjInd The indicator as to whether a preload contrast agent injection was previously performed The indicator as to whether a preload contrast agent injection was previously performed Previous preload contrast injection No;Yes No;Yes Alphanumeric

Choose one. If, yes please record the amount used.

No references available Adult;Pediatric Supplemental-Highly Recommended 1.00 2024-02-29 15:48:37.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02495 Imaging scanner strength value type ImgScannerStrgthValTyp Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Magnetic Field Strength of Scanner Used 1.5T;3.0T;7.0T;Other, specify 1.5T;3.0T;7.0T;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-02-29 15:47:31.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18708 Imaging pulse sequence type other text ImgPulseSeqTypOTH The free-text field related to 'Imaging pulse sequence type', specifying other text. Type of imaging pulse sequence used The free-text field related to 'Imaging pulse sequence type', specifying other text. Type of imaging pulse sequence used Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental-Highly Recommended 2.00 2022-07-01 14:55:04.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C02496 Imaging scanner manufacturer name ImgScannerManufName Name of manufacturer of imaging scanner Name of manufacturer of imaging scanner Name of the scanner manufacturer GE;Siemens;Philips;Other, specify;Canon GE;Siemens;Philips;Other, specify;Canon Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18716 Imaging scanner manufacturer name other text ImgScannerManufNameOTH The free-text field related to 'Imaging scanner manufacturer name', specifying other text. Name of manufacturer of imaging scanner The free-text field related to 'Imaging scanner manufacturer name', specifying other text. Name of manufacturer of imaging scanner Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 2.00 2022-06-28 13:09:35.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C02498 Imaging scanner software version number text ImgScannerSftwrVrsnNumTxt Free-text field specifying the version number of the imaging scanner software Free-text field specifying the version number of the imaging scanner software Name of the scanner software and its version number Alphanumeric

No instructions available

No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C18718 Imaging scanner strength value type other text ImgScannerStrgthValTypOTH The free-text field related to 'Imaging scanner strength value type', specifying other text. Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported The free-text field related to 'Imaging scanner strength value type', specifying other text. Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental-Highly Recommended 2.10 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Sequence Gradient-echo;Spin echo;Other, specify Gradient-echo;Spin echo;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-02-29 15:47:35.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C08238 Imaging repetition gap duration ImgRepetitionGapDur Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition Repetition time (TR) Numeric Values

If the sequences are different for T1 and T2 sequence parameters, record the T2 parameters as indicated. If they are the same, leave the T2 parameters section blank. If the sequences are different for T1 and FLAIR sequence parameters, record the FLAIR parameters as indicated. If they are the same, leave the FLAIR parameters section blank.

No references available Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:47:45.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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millisecond
C08239 Imaging echo duration ImgEchoDur Duration between the application of the 90 degree pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition Duration between the application of the 90 degree pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition Echo Time (TE) Numeric Values

If the sequences are different for T1 and T2 sequence parameters, record the T2 parameters as indicated. If they are the same, leave the T2 parameters section blank. If the sequences are different for T1 and FLAIR sequence parameters, record the FLAIR parameters as indicated. If they are the same, leave the FLAIR parameters section blank.

No references available Adult;Pediatric Supplemental-Highly Recommended 3.20 2024-03-18 15:21:17.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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millisecond
C10569 Imaging perfusion method type ImgPrfusnMethdTyp Type of method used for acquiring perfusion magnetic resonance imaging (PMRI) data Type of method used for acquiring perfusion magnetic resonance imaging (PMRI) data Perfusion Imaging Method Dynamic Susceptibility Contrast;Arterial Spin Labeling Dynamic Susceptibility Contrast (DSC);Arterial Spin Labeling (ASL) Alphanumeric

Choose only one

No references available Adult Supplemental-Highly Recommended 3.00 2013-07-22 16:57:17.79 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10599 Parameter map calculation type ParamtrMapCalcTyp Type(s) of parameter maps calculated for the perfusion MRI scan being reported Type(s) of parameter maps calculated for the perfusion MRI scan being reported Parameter maps created Time to Peak;Relative cerebral blood volume;Relative cerebral flow;Relative mean transit time;Cerebral blood flow;Blood arrival time or similar;Time to maximum seconds;Other, specify Time to Peak (TTP);Relative cerebral blood volume (relCBV);Relative cerebral flow (relCBF);Relative mean transit time (relMTT);Cerebral blood flow (CBF);Blood arrival time (BAT) or similar;Time to maximum (Tmax) seconds;Other, specify Alphanumeric

No instructions available

No references available Adult Supplemental-Highly Recommended 4.00 2024-02-29 15:48:42.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C17797 Imaging contrast agent injection rate ImgContrastAgentInjctnRate Rate of injection, in milliliters per second (mL/s), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan Rate of injection, in milliliters per second (mL/s), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan Injection rate Numeric Values No references available Adult;Pediatric Supplemental-Highly Recommended 3.10 2024-02-29 15:48:33.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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milliliter per second
C17798 Imaging contrast agent name ImgContrastAgentName Name of imaging contrast agent used Name of imaging contrast agent used Name of the IV contrast agent Alphanumeric No references available Adult;Pediatric Supplemental-Highly Recommended 3.00 2013-07-22 16:57:17.79 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C17925 Imaging contrast agent dose ImgContrastAgentDose Dosage of the contrast agent used Dosage of the contrast agent used Dosage Numeric Values No references available Adult;Pediatric Supplemental-Highly Recommended 4.00 2024-02-29 15:47:39.0 Brain Perfusion Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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CSV