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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: Mitochondrial Disease
Sub-Domain: Imaging Diagnostics
CRF: Brain Perfusion Magnetic Resonance Imaging
Item count: 42 (42 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
C02495
Imaging scanner strength value
ImgScannerStrgthVal
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;4.0T;7.0T;Other, specify;
1.5T;3.0T;4.0T;7.0T;Other, specify;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scanner strength value
 
Single Pre-Defined Value Selected
  
Tesla
    
C18718
Imaging scanner strength other text
ImgScannerStrgthOTH
The free-text field related to 'Imaging scanner strength value' specifying other text. 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
1.0
5/27/2014
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
  
Tesla
    
C18715
Imaging radio frequency coil other text
ImgRFCoilOTH
The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned
Other, specify
  
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C10567
Imaging radio frequency coil type
ImgRFCoilTyp
Type of radio frequency (RF) coil(s) used for the body part scanned
RF receiver coil(s) and number of channels
Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify;
Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify;
Alphanumeric
Check all that apply
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging RF receiver coil type
4000
Multiple Pre-Defined Values Selected
       
C10568
Imaging radio frequency coil channel count
ImgRFCoilChannelCt
Number of the coil channels in the radio frequency (RF) coil used for the imaging scan
RF receiver coil(s) and number of channels
1;8;12;16;24;32;Other, specify;
Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify;
Alphanumeric
Record the number of coils for the applicable receiver coils.
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging coil channel number
 
Single Pre-Defined Value Selected
       
C10569
Imaging perfusion method type
ImgPrfusnMethdTyp
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
3.0
7/22/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
PMRI imaging method type
 
Single Pre-Defined Value Selected
       
C10570
Imaging contrast agent used indicator
ImgContrastAgentUsedInd
Indicator as to whether or not an imaging contrast agent was used for the scan as part of Diffusion Tensor Imaging (DTI).
Contrast used
Yes;No;Unknown;Not applicable;
Yes;No;Unknown;Not applicable;
Alphanumeric
Choose one. If yes, record the name of the contrast agent, the dosage, and the injection rate (in mL/min)
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging contrast agent used indicator
 
Single Pre-Defined Value Selected
       
C02499
Imaging pulse sequence type
ImgPulseSeqTyp
Type of imaging pulse sequence used
Sequence
T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;rFOV;EPI;
T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;Reduced field of view (rFOV);Echo Planar Imaging (EPI);
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging sequence type
 
Multiple Pre-Defined Values Selected
       
C18708
Imaging pulse sequence other text
ImgPulseSeqOTH
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
1.0
5/27/2014
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C17798
Imaging contrast agent name
ImgContrastAgentName
Name of imaging contrast agent used
If yes, name of the contrast
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C17925
Imaging contrast agent dose
ImgContrastAgentDose
Dosage of the contrast agent used
Dosage
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C08241
Imaging field of view axis 1 measurement
ImgFieldViewAxis1Measr
Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters
Field of view
  
Numeric Values
To be answered for each sequence used. Answer should be recorded as a dimension (AAxAA) in millimeters squared (mm2)
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
FOV
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging field of view measurement
 
Free-Form Entry
  
millimeter
    
C10576
Imaging in plane resolution axis 1 measurement
ImgInPlaneRsltnAxis1Measr
Axis 1 of in-plane spatial resolution used in imaging acquisition
In-plane resolution
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging in plane resolution measurement
 
Free-Form Entry
  
millimeter
    
C17797
Imaging contrast agent injection rate
ImgContrastAgentInjctnRate
Rate of injection, in milliliters per minute (mL/min), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan
Injection rate
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
  
Free-Form Entry
  
milliliter per minute
    
C08244
Imaging slice thickness value
ImgSliceThicknessVal
Value of the thickness of the slice measured in millimeters (mm)
Slice thickness
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging slice thickness value
 
Free-Form Entry
0
99
millimeter
    
C08245
Imaging slice count
ImgSliceCt
Count representing the total number of single image planes captured during imaging acquisition
Number of slices
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging slice number
 
Free-Form Entry
       
C08238
Imaging repetition gap value
ImgRepetitionGapVal
Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition
Reptition 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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging repetition time
 
Free-Form Entry
  
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
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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging echo time
 
Free-Form Entry
  
millisecond
    
C10577
Imaging signal averages number
ImgSignalAvgNum
Number of signal acquisitions averaged in imaging acquisition
Number of signal averages
  
Numeric Values
DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging signal averages number
 
Free-Form Entry
       
C08242
Imaging acquisition duration
ImgAcquisitionDur
Duration of the imaging scan in minutes
Acquisition time
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging scan duration
 
Free-Form Entry
  
minute
    
C10583
Imaging base resolution value
ImgBaseResolutionVal
Value in points of the base resolution used in imaging acquisition as part of Diffusion Tensor Imaging (DTI).
Base resolution
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Exploratory
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging base resolution value
 
Free-Form Entry
  
point
    
C10584
Imaging phase resolution percentage value
ImgPhasResltnPercentVal
The value in percent of the phase resolution used in imaging acquisition
Phase resolution
  
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. DTI sequence parameters.
No references available
Adult;Pediatric
Exploratory
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging phase resolution value
 
Free-Form Entry
  
percent
    
C10585
Imaging phase partial Fourier indicator
ImgPhasPartialFourierInd
Indicator of whether phase partial Fourier was used
Partial Fourier
  
Alphanumeric
To be answered for each sequence used.
If yes, answer should be recorded as a ratio. E.g., 6/8
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging phase partial Fourier indicator
 
Single Pre-Defined Value Selected
       
C10586
Imaging bandwidth value
ImgBandwidthVal
Value, in Hertz per pixel, of bandwidth used in imaging acquisition.
Band width
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging band width value
 
Free-Form Entry
  
Hertz per pixel
    
C10587
Imaging echo spacing value
ImgEchoSpcVal
Measurement, in milliseconds, of the echo spacing used in diffusion acquisition.
Echo spacing
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Exploratory
3.0
7/24/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging echo spacing value
 
Free-Form Entry
  
millisecond
    
C10588
Imaging echo train length measurement
ImgEchoTrainLngthMeasr
Measurement of the echo train length used in imaging acquisition
Echo train length (EPI factor)
  
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. DTI sequence parameters
No references available
Adult;Pediatric
Exploratory
3.0
7/25/2013
Aliases for variable name not defined
Brain Perfusion Magnetic Resonance Imaging
Imaging Diagnostics
Assessments and Examinations
Imaging echo train length measurement
 
Free-Form Entry
       
07-21-2019
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