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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: Parkinson's Disease
Sub-Domain: Imaging Diagnostics
CRF: PET-SPECT
Item count: 70 (70 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
C08258
Imaging radioligand type
ImgRadiolgndTyp
Isotope-labeled bioactive compound (generic or common name) used in the imaging scan
Radioligand
DaTSCAN;Altropane;ß-CIT;FDG;Florbetapir;Florbetaben;Florbetamol;PIB;DOPA;MIBG;Fluoro-metatyrosine (FMT);2-deoxy-glucose (either C14 or H3);AMT;FCWAY;H2O15;Other, specify;FMZ;ECD;HMPAO;
DaTSCAN;Altropane;ß-CIT;FDG;Florbetapir;Florbetaben;Florbetamol;PIB;DOPA;MIBG;Fluoro-metatyrosine (FMT);2-deoxy-glucose (either C14 or H3);AMT;FCWAY;H2O15;Other, specify;FMZ;ECD;HMPAO;
Alphanumeric
choose only one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
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 only one
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C08259
Imaging radioligand specific activity value
ImgRadiolgndActVal
Value of the specific activity of the Radioligand in Bq/Kg
Specific activity of radioligand in Bq/kg
  
Numeric Values
if the activity is unknown, enter or check "Unknown"
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand specific activity value
 
Free-Form Entry
0
10000
Becquerel per kilogram
    
C18037
Imaging radioligand specific activity value indicator
ImgRadiolgndSpcfcActValInd
Whether the specific activity value is known
Specific activity of radioligand
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
  
Single Pre-Defined Value Selected
       
C08260
Imaging isotope type
ImgIsotopeTyp
Type of radioactive isotope used for the imaging scan
Isotope
123-I;18-F;11-C;99 Tcm;Other, specify;
123-I;18-F;11-C;99 Tcm;Other, specify;
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging isotope type
 
Single Pre-Defined Value Selected
       
C18699
Imaging isotope other text
ImgIsotopeOTH
The free-text field related to 'Imaging isotope type' specifying other text. Type of radioactive isotope used for the imaging scan
Other, specify
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C18038
Isotope other text
IsotopeOthrTxt
Specify in text the type of radioactive isotope used for the imaging scan if it is not listed above
Isotope Other, Specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C02496
Imaging scanner manufacturer name
ImgScannerManufName
Name of manufacturer of imaging scanner
Camera (Include Type of scanner and Manufacturer)
Agfa;Hitachi;Philips;Other, specify;Carestream;Toshiba;Hologic;Siemens;GE;Konica Minolta;
Agfa;Hitachi;Philips;Other, specify;Carestream;Toshiba;Hologic;Siemens;GE;Konica Minolta;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging scanner manufacturer name
 
Single Pre-Defined Value Selected
       
C02497
Imaging scanner model name
ImgScannerModelName
Name of model of imaging scanner
Camera include Type of scanner and Manufacturer
Symphony;Trio;Achieva;Signa;Other, specify;
Symphony;Trio;Achieva;Signa;Other, specify;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging scanner model 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
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C18717
Imaging scanner model other text
ImgScannerModelOTH
The free-text field related to 'Imaging scanner model name' specifying other text. Name of model 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
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C18707
Imaging pre-scan procedure other text
ImgPrescnProcdrOTH
The free-text field related to 'Imaging pre-scan procedure type' specifying other text. Type(s) of pre-scan procedures administered to the participant/subject
Other, specify
  
Alphanumeric
Choose all that apply
No references available
Adult;Pediatric
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C18039
Scanner manufacturer other text
ScannerManufactOthrTxt
Specify in text the type and manufacturer name of the scanner if it is not listed above
Other camera (Include Type of scanner and Manufacturer), specify
  
Alphanumeric
No instructions available
No references available
Adult
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C08236
Imaging scanner software name
ImgScannerSftwrName
Name of the scanner software that runs the imaging camera
Camera Software
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging camera software name
4000
Free-Form Entry
       
C08247
Imaging medication pre-treatment status
ImgMedctnPretrtmntStatus
Status of the medication(s) taken by the participant/subject pre-treatment for the imaging scan
Parkinson’s Disease Medication(s) Status – Pre-treatment
All medications withheld;Specific medication(s) withheld;No medication(s) withheld;
All medications withheld;Specific medication(s) withheld;No medication(s) withheld;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging medication pre-treatment status
 
Single Pre-Defined Value Selected
       
C08248
Imaging medication pre-treatment withheld duration
ImgMedctnPretrtmntWithldDur
Duration of time medication(s) were withheld from the participant/subject pre-treatment for the imaging scan
If a medication was withheld, how long was it withheld?
  
Numeric Values
Answered only if 'All medications withheld' was checked Only answer if 'All medications withheld' or 'Specific medication(s) withheld' are answered for 'PD medications pre-treatment'
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging medication pre-treatment withheld duration
 
Free-Form Entry
       
C08261
Imaging radioligand dose value
ImgRadiolgndDosVal
Dose of injected radioligand for the imaging scan
Dose
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand dose value
 
Free-Form Entry
       
C08262
Imaging radioligand dose unit of measure
ImgRadiolgndDoseUoM
Unit of measure for the dose of injected radioligand for the imaging scan
Unit of Measure
mCi;Mbq;Other, specify;
mCi;Mbq;Other, specify;
Alphanumeric
Choose one
No references available
Adult
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand dose unit of measure
 
Single Pre-Defined Value Selected
       
C08249
Imaging medication pre-treatment withheld duration unit of measure
ImgMedctnPrtrtmntWithhldDurUOM
Unit of measure used to specify the length of time medication(s) were withheld from the participant/subject pre-treatment for the imaging scan
Days, Hours , Minutes
Days;Hours;minutes;
Days;Hours;minutes;
Alphanumeric
Choose one
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging medication pre-treatment withheld duration unit of measure
 
Single Pre-Defined Value Selected
       
C18710
Imaging radioligand dose other text
ImgRadiolgndDoseOTH
The free-text field related to 'Imaging radioligand dose unit of measure' specifying other text. Unit of measure for the dose of injected radioligand for the imaging scan
Other, specify
  
Alphanumeric
Choose one
No references available
Adult
Supplemental
1.0
5/27/2014
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
       
C02014
Medication prior or concomitant name
MedctnPriorConcomName
Name of the prior/concomitant agent or drug administered.
Parkinson's Disease (PD) Medication
  
Alphanumeric
Only answer if 'Specific medication(s) withheld' is answered for 'PD medications pre-treatment'
No references available
Adult;Pediatric
Supplemental
3.0
8/28/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Medication prior or concomitant name
4000
Free-Form Entry
     
3162728
 
C18040
Radioligand dose other unit of measure
RadiolgndDoseOthrUoM
Other unit of measure for the dose of injected radioligand for the imaging scan
Unit of Measure, Other Specify
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/20/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
255
Free-Form Entry
       
C08263
Imaging radioligand injection to acquisition elapsed time
ImgRadiolgndInj2AcqDur
Duration in minutes from radioligand injection to imaging acquisition
Time from Injection to Scan (minutes)
  
Numeric Values
This value should be captured in minutes
No references available
Adult;Pediatric
Supplemental
3.0
7/22/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging radioligand injection to scan elapsed time
 
Free-Form Entry
  
minute
    
C18613
Imaging medication pre-treatment withheld name
ImgMedctnPrtrtmntWithhldName
Name of the pre-treatment withheld agent or drug
   
Alphanumeric
Record the verbatim name (generic or trade name) of the medication the participant/subject reports taking. Add date stamp for when assessed. For TBI studies recommend collection is at least on date of TBI.
RXNorm (http://www.nlm.nih.gov/research/umls/rxnorm/); NCI Common Data Element Browser Public ID = 3162728
Adult;Pediatric
Supplemental
1.0
9/25/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
 
4000
Free-Form Entry
     
3162728
 
C01541
Weight measurement
WgtMeasr
Measurement of participant's/subject's weight
Current Body Weight
  
Numeric Values
Record the weight of the participant/subject in kilograms (kg). To be collected at the visit, not self-reported.
No references available
Adult;Pediatric
Supplemental
3.0
7/25/2013
SCI CDEs: WEIGHT
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Weight measurement
 
Free-Form Entry
0
500
kilogram
  
2179689
 
C08242
Imaging acquisition duration
ImgAcquisitionDur
Duration of the imaging scan in minutes
Duration of Scan (minutes)
  
Numeric Values
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/24/2013
Aliases for variable name not defined
PET-SPECT
Imaging Diagnostics
Assessments and Examinations
Imaging scan duration
 
Free-Form Entry
  
minute
    
07-21-2019
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