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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Epilepsy
Sub-Domain: Imaging Diagnostics
CRF: Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Item count: 14 (14 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C02494
Imaging study date and time
ImgStdyDateTime
Date (and time, if applicable and known) the radiologic study was obtained.
Date of Exam
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Refer to SCI CDE Annotated Form
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C13962
Seizure last occurrence date and time
SeizLastOccurDateTime
The date and time the last seizure occurred
Last seizure occurrence in relation to study
  
Date or Date & Time
Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Last Seizure Occurrence Date/Time
 
Free-Form Entry
       
C18711
Imaging radioligand other text
ImgRadiolgndOTH
The free-text field related to 'Imaging radioligand type' specifying other text. Isotope-labeled bioactive compound (generic or common name) used in the imaging scan
Other, specify
  
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C08258
Imaging radioligand type
ImgRadiolgndTyp
Isotope-labeled bioactive compound (generic or common name) used in the imaging scan
Ligand
ECD;HMPAO;Other, specify;
ECD;HMPAO;Other, specify;
Alphanumeric
Choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand type
 
Single Pre-Defined Value Selected
       
C08261
Imaging radioligand dose value
ImgRadiolgndDosVal
Dose of injected radioligand for the imaging scan
Dose, specify
  
Numeric Values
Indicate dose of ligand
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand dose value
 
Free-Form Entry
       
C13988
Imaging ictal single-photon emission computed tomography localization processing type
ImgISPECTLocalProcessTyp
Processing type of imaging of the brain during a seizure using Ictal single-photon emission computed tomography (SPECT).
Processing
None- ictal and interictal scans not registered and no intensity correction;Ictal-interictal SPECT subtraction;Ictal-interictal SPECT analyzed by SPM;EEG during uptake to assure interictal/ictal study;Co-registered to MRI;Condition of study;
None- ictal and interictal scans not registered and no intensity correction;Ictal-interictal SPECT subtraction;Ictal-interictal SPECT analyzed by SPM;EEG during uptake to assure interictal/ictal study;Co-registered to MRI;Condition of study;
Alphanumeric
Choose only one. If condition of study, indicate ictal
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization processing type
 
Single Pre-Defined Value Selected
       
C13989
Imaging ictal single-photon emission computed tomography localization rating type
ImgISPECTLocalRatingTyp
Localization rating indicator of imaging using ictal single-photon emission computed tomography (SPECT).
Rating
Visual;Semi quantitative (ROI AI);Voxel based (SPM);Subtraction based;
Visual;Semi quantitative (Region of Interest Asymmetry Index);Voxel based (Statistical Parametric Mapping);Subtraction based;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization rating indicator
 
Single Pre-Defined Value Selected
       
C13990
Imaging ictal single-photon emission computed tomography localization uptake status
ImgISPECTLocalUptakeStatus
Describes the status for the level of ligand tracer binding
Uptake
Increased;Decreased;
Increased;Decreased;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization uptake indicator
 
Single Pre-Defined Value Selected
       
C18521
Imaging single-photon emission computed tomography ictal localization condition type
ImgSPECTIctalLocalCondTyp
The seizure condition at the time of imaging of the brain using Ictal single-photon emission computed tomography (SPECT).
Condition of study
Inter-Ictal;Ictal;Peri-Ictal;
Inter-Ictal;Ictal;Peri-Ictal;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C13991
Imaging ictal single-photon emission computed tomography localization distribution pattern type
ImgISPECTLocalDistrPattTyp
Distribution pattern of tracer binding/uptake based on Ictal single-photon emission computed tomography (SPECT)
Distribution
Global;Hemisphere;Multifocal;Lobar;Regional;
Involves the entire brain;Involves an entire supratentorial hemisphere;Multifocal;Involves more than half of one lobe;Regional;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization distribution type
 
Single Pre-Defined Value Selected
       
C02411
Laterality type
LatTyp
Laterality type relative to the anatomic site of the body examined or affected
Lateralization
  
Alphanumeric
Indicate which of the following cranial nerves are abnormal. Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Laterality type
 
Single Pre-Defined Value Selected
       
C13992
Imaging ictal single-photon emission computed tomography localization cortical anatomic site
ImgISPECTLocCortclAntmicSite
The cortical location of tracer binding/uptake based on Ictal single-photon emission computed tomography (SPECT)
Location
Frontal Polar (FP);Mesial frontal (MF);Dorsal lateral frontal (DLF);Orbital frontal (OF);Mesial parietal (MP);Insula (INS);Dorsal lateral parietal (DLP);Basal ganglia;Mesial occipital (MO);Lateral occipital (LO);Basal occipital (BO);Temporal polar (TP);Mesial temporal (MT);Lateral temporal (LT);Thalamus;Cerebellum;
Frontal Polar (FP);Mesial frontal (MF);Dorsal lateral frontal (DLF);Orbital frontal (OF);Mesial parietal (MP);Insula (INS);Dorsal lateral parietal (DLP);Basal ganglia;Mesial occipital (MO);Lateral occipital (LO);Basal occipital (BO);Temporal polar (TP);Mesial temporal (MT);Lateral temporal (LT);Thalamus;Cerebellum;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization cortical location type
 
Multiple Pre-Defined Values Selected
       
C18898
Imaging ictal single-photon emission computed tomography localization cortical anatomic other text
ImgISPECTLocCortclAntmicOTH
The free-text field related to 'Imaging ictal single-photon emission computed tomography localization cortical anatomic site' specifying other text. The cortical location of tracer binding/uptake based on Ictal single-photon emission computed tomography (SPECT)
Other, specify
  
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C13993
Imaging ictal single-photon emission computed tomography localization study conclusion status
ImgISPECTLocStdyConcStatus
The Ictal single-photon emission computed tomography (SPECT) localization study conclusion
Study Conclusion
Positive;Negative;Inconclusive;
Positive (e.g. definite abnormality or change(s) and localizes to a single predominant region);Negative (e.g. normal, no change);Inconclusive (e.g. some abnormality or change, but indeterminate or not definite);
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Ictal Single-photon Emission Computed Tomography (SPECT) Localization
Imaging Diagnostics
Assessments and Examinations
Ictal SPECT localization study conclusion indicator
 
Single Pre-Defined Value Selected
       
09-25-2017
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