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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: Positron Emission Tomography (PET) 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 Scan Performed
  
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
Positron Emission Tomography (PET) 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
Positron Emission Tomography (PET) 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
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Positron Emission Tomography (PET) 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
FDG;FMZ;AMT;FCWAY;Other, specify;
FDG;FMZ;AMT;FCWAY;Other, specify;
Alphanumeric
Check only one. If other, specify.
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Positron Emission Tomography (PET) 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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand dose value
 
Free-Form Entry
       
C13994
Imaging PET localization processing type
ImgPETLoclProcTyp
Type of processing performed on image produced by positron emission tomography (PET) localization.
Processing
  
Alphanumeric
Check 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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
Imaging PET localization processing type
 
Single Pre-Defined Value Selected
       
C13995
PET localization rating type
PETLocalRatTyp
Localization rating indicator of imaging using positron emission tomography (PET).
Rating
Visual;Semi quantitative (ROI AI);Quantitative (ROI);Voxel based (SPM);
Visual;Semi quantitative (ROI AI);Quantitative (ROI);Voxel based (SPM);
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
PET localization rating type
 
Single Pre-Defined Value Selected
       
C13996
PET localization uptake type
PETLocalUptkTyp
Indicates the degree of absorption or level of ligand tracer binding in the brain scan
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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
PET localization uptake type
 
Single Pre-Defined Value Selected
       
C13997
PET localization distribution pattern type
PETLocalDistrPatrnTyp
General pattern of tracer binding/uptake based on the Positron Emission Tomography (PET) scan
Distribution
Global;Hemisphere;Multifocal;Lobar;Regional;
Global;Hemisphere;Multifocal;Lobar;Regional;
Alphanumeric
Check only one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
PET localization distribution pattern type
 
Single Pre-Defined Value Selected
       
C18530
Imaging positron emission tomography ictal localization study type
ImgPETIctalLocalizStudyTyp
Type of imaging study of the brain during a seizure using Ictal positron emission tomography (PET)
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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
  
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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
Laterality type
 
Single Pre-Defined Value Selected
       
C13998
PET localization cortical anatomic site
PETLocalCortclAntmicSite
The cortical anatomical site of tracer binding/uptake based on positron emission tomography (PET)
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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
PET localization cortical location indicator
 
Multiple Pre-Defined Values Selected
       
C13999
PET localization study type
PETLocalStdyTyp
The PET 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
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
PET localization study result
 
Single Pre-Defined Value Selected
       
C18529
Imaging positron emission tomography ictal cortical anatomic site
ImgPETIctalCortclAntmicSite
The anatomic side of the cortex examined or affected using Ictal positron emission tomography (PET)
Side
Left;Right;
Left;Right;
Alphanumeric
(Check all that apply)
No references available
Adult;Pediatric
Supplemental
3.0
7/30/2013
Aliases for variable name not defined
Positron Emission Tomography (PET) Localization
Imaging Diagnostics
Assessments and Examinations
  
Multiple Pre-Defined Values Selected
       
07-24-2017
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