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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: Headache
Sub-Domain: Imaging Diagnostics
CRF: Positron Emission Tomography Localization (PET)
Item count: 18 (18 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 scan
  
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 Localization (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging study date and time
 
Free-Form Entry
       
C02496
Imaging scanner manufacturer name
ImgScannerManufName
Name of manufacturer of imaging scanner
Name of scanner manufacturer
GE;Siemens;Philips;Other, specify;
GE;Siemens;Philips;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging scanner manufacturer name
 
Single Pre-Defined Value Selected
       
C18716
Imaging scanner manufacturer other text
ImgScannerManufOTH
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
1.0
5/27/2014
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
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;H2O15;Other, specify;
FDG;H2O15;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand type
 
Single Pre-Defined Value Selected
       
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 one
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C08261
Imaging radioligand dose value
ImgRadiolgndDosVal
Dose of injected radioligand for the imaging scan
specify dose
  
Numeric Values
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
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
None-routine visual analysis;Co-registered to MRI;Co-registered CT;3D stereotactic surface projection (SSP);SPM analysis;Other, specify;
None-routine visual analysis;Co-registered to MRI;Co-registered CT;3D stereotactic surface projection (SSP);SPM analysis;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging PET localization processing type
 
Single Pre-Defined Value Selected
       
C56595
Imaging PET localization processing other text
ImagPETLocProcOthrTxt
Text describing another type of processing performed on image produced by positron emission tomography (PET) localization.
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
6/16/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C55774
Imaging headache relation time type
ImagHeadacheRelTimeTyp
The type of timing of the imaging in relation to headache.
Study Timing
Inter-Ictal;Ictal;Peri-Ictal;
Inter-Ictal;Ictal;Peri-Ictal;
Alphanumeric
Report the timing of the study in relation to the headache. The precise time windows for peri-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the last and before the next attack is generally accepted for "inter-ictal".
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C55775
Imaging ictal pain intensity value
ImagIctPainIntensVal
The value related to the intensity of the subject's pain if the timing is ictal
If ictal, pain intensity at time of recordings
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
0
10
     
C55776
Imaging ictal headache since onset duration
ImagIctHeadSinceOnsetDur
The duration of time since the onset of the subject's headache if it was ictal.
If ictal, duration of time since onset of headache
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C55778
Imaging inter peri ictal next headache start duration
ImagInterPeriIctNextHeStartDur
The duration of time until the start of the subject's next inter-ictal or peri-ictal headache.
If inter-ictal or peri-ictal, duration of time until start of next headache
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C55777
Imaging inter peri ictal headache since end duration
ImagInterPeriIctHeadSincEndDur
The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe.
If inter-ictal or peri-ictal, duration of time since end of last headache
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
5/31/2017
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
       
C15537
Imaging study condition type
ImgStdyCondTyp
Type of condition the imaging study is focusing on
Study timing
Inter-Ictal;Ictal;Peri-Ictal;
Inter-Ictal;Ictal;Peri-Ictal;
Alphanumeric
The permissible values (Inter-Ictal, Ictal, Peri-Ictal) should be clearly defined be the study investigator as the value parameters can be study specific.
No references available
Adult;Pediatric
Supplemental
3.0
7/16/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
Imaging study condition 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
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
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
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
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
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
PET localization distribution pattern type
 
Single Pre-Defined Value 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
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Positron Emission Tomography Localization (PET)
Imaging Diagnostics
Assessments and Examinations
PET localization study result
 
Single Pre-Defined Value Selected
       
07-22-2019
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