CDE Detailed Report

Disease: Epilepsy
Subdomain Name: Imaging Diagnostics
CRF: Magnetic Resonance Imaging (MRI)

Displaying 1 - 33 of 33
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C59604 Imaging malformation cortical development type other text ImgMlfrmtnCortclDvlpmntTypOTH The free-text field related to 'Imaging malformation cortical development type' specifying other text The free-text field related to 'Imaging malformation cortical development type' specifying other text Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 15:08:21.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C13980 Imaging specific abnormality impression type ImgSpecAbnrmlyImpressTyp Diagnostic conclusion drawn from scan Diagnostic conclusion drawn from scan Specific Abnormalities 1;2;3;4;5;6;7 1 = Hippocampal sclerosis (HS);2 = Malformation of cortical development (MCD);3 = Vascular;4 = Neoplasm (If Developmental tumor-like lesion, see MCD to classify);5 = Inflammatory/infectious;6 = Atrophy or tissue loss;7 = Tumor-like lesion (e.g., epidermoid and dermoid) Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59594 Imaging abnormality cortical identification code ImgAbnrmlylCorticalIdCode Code related to identification of cortical abnormalities Code related to identification of cortical abnormalities Abnormality type identification number(s) Numeric Values Adult;Pediatric Supplemental 1.00 2023-08-11 14:22:05.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C59605 Imaging vascular disorder type other text ImgVascularDisorderTypOTH The free-text field related to 'Imaging vascular disorder type' specifying other text The free-text field related to 'Imaging vascular disorder type' specifying other text Vascular malformation, Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 15:09:42.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

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C14040 Imaging vascular disorder type ImgVascularDisorderTyp Type of vascular disorder type for which the assessment is being completed Type of vascular disorder type for which the assessment is being completed for If applicable, specify Arterial stroke;Arterial vascular malformation;Cavernoma;Hemorrhage;Venous stroke;Vascular malformation;Vascular malformation;Other, specify;Hemorrhage Arterial stroke;Arterial vascular malformation;Cavernoma;Hemorrhage (including post hemorrhage evidence, e.g. periventricular);Venous stroke;Vascular malformation (other);Vascular malformation;Other, specify;Hemorrhage (including post hemorrhage evidence, e.g., periventricular) Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59595 Imaging abnormality cortical contrast agent use indicator ImgAbnCrtCntAgnUseInd Indicator as to whether an imaging contrast agent was used for the cortical imaging scan Indicator as to whether an imaging contrast agent was used for the cortical imaging scan Contrast enhancing? Yes;No;N/A Yes;No;Not applicable Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:24:40.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C59606 Imaging inflammatory infection type other text ImgInflammatoryInfctnTypOTH The free-text field related to 'Imaging inflammatory infection type' specifying other text The free-text field related to 'Imaging inflammatory infection type' specifying other text Encephalitis, Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 15:10:41.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C02494 Imaging study date and time ImgStdyDateTime Date (and time, if applicable and known) the radiologic study was obtained 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.).
Record date in mm dd yyyy

No references available Adult;Pediatric Supplemental 3.10 2024-02-29 15:51:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C14041 Imaging neoplasm status type ImgNeoplasmStatusTyp Status type of Neoplasm Status type of Neoplasm If applicable, specify Primary;Secondary Primary;Secondary Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59596 Imaging abnormality subcortical side type ImgAbnrmltySbcrtclSideTyp Side of the abnormality below the brain cortex Side of the abnormality below the brain cortex Side Left;Right;Bilateral;N/A Left;Right;Bilateral;Not applicable Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:31:06.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02495 Imaging scanner strength value type ImgScannerStrgthValTyp Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Type of 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;7.0T;Other, specify 1.5T;3.0T;7.0T;Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 4.00 2024-02-29 15:47:31.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14042 Imaging inflammatory infection type ImgInflammatoryInfctnTyp Type of inflammatory and infection for which the assessment is being completed Type of inflammatory and infection for which the assessment is being completed If applicable, specify Abscess;Cysticercosis;Encephalitis;Limbic encephalitis;Sarcoidosis;Vasculitis Abscess;Cysticercosis;Encephalitis;Limbic encephalitis;Sarcoidosis;Vasculitis Alphanumeric Adult;Pediatric Supplemental 4.00 2023-08-10 22:43:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59597 Imaging abnormality subcortical identification code ImgAbnrmltySbcrtclIDCode Code related to identification of subcortical abnormalities Code related to identification of subcortical abnormalities Abnormality type identification number(s) Numeric Values Adult;Pediatric Supplemental 1.00 2023-08-11 14:35:47.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C10570 Imaging contrast agent used indicator ImgContrastAgentUsedInd Indicator of whether an imaging contrast agent was used for the scan Indicator as to whether or not an imaging contrast agent was used for the scan Contrast used? Yes;No Yes;No Alphanumeric

Check only one

No references available Adult;Pediatric Supplemental 3.10 2024-03-18 15:21:17.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C14043 Imaging atrophy tissue loss type ImgAtrphyTissueLossTyp Type of atrophy or tissue loss for which the assessment is being completed Type of atrophy or tissue loss for which the assessment is being completed If applicable, specify Encephalomalacia;Vascular related Encephalomalacia (related to surgery, abscess, radiation, trauma);Vascular related (If caused by Stroke, see Vascular to classify) Alphanumeric Adult;Pediatric Supplemental 4.00 2023-08-11 11:42:34.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59598 Imaging abnormality subcortical contrast agent used indicator ImgAbnSbcCntAgnUsdInd Indicator as to whether an imaging contrast agent was used for the subcortical imaging scan Indicator as to whether an imaging contrast agent was used for the subcortical imaging scan Contrast enhancing? Yes;No;N/A Yes;No;Not applicable Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:39:06.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13973 Imaging epilepsy-specific protocol indicator ImgEpilepsySpecificProtocolInd The protocol pertains to epilepsy The protocol pertains to epilepsy Epilepsy-specific Protocol Yes;No Yes;No Alphanumeric

Check only one

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18525 Imaging abnormality cortical side type ImgAbnrmlyCortclSideTyp Side of the abnormality in the brain cortex Side of the abnormality in the brain cortex Side Left;Right;Bilateral Left;Right;Bilateral Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C59599 Imaging abnormality feature type identification code ImgAbnrmltyFtrTypIDCode Code related to identification of feature abnormalities Code related to identification of feature abnormalities Abnormality type identification number(s) Numeric Values Adult;Pediatric Supplemental 1.00 2023-08-11 14:45:45.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C13975 Imaging abnormality count ImgAbnrmlyCt The number of imaging abnormality types The number of imaging abnormality types If Abnormal, number of abnormality types Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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C18527 Imaging malformation of cortical development type ImgMlfrmtnCortclDvlpmntTyp the type of malformation of cortical development (MCD) of diagnostic conclusion drawn from scan The type of malformation of cortical development (MCD) of diagnostic conclusion drawn from scan If applicable, specify Band heterotopias;Development tumor-like lesion;Focal cortical dysplasia;Hemimegalencephaly;Heterotopia/heterotopion;Hypothalamic hamartoma;Lissencephaly;Microcephaly;Pachygyria;Partial Hemimegalencephaly;Periventricular nodular heterotopias;Polymicrogyria;Schizencephaly;Transmantle focal cortical dysplasia;Tuberous sclerosis;Other, specify;Focal cortical dysplasia;Transmantle focal cortical dysplasia/bottom-of-sulcus dysplasia;Heterotopia / heterotopion not periventricular nodular heterotopia;Macrocepahally Band heterotopias;Development tumor-like lesion;Focal cortical dysplasia;Hemimegalencephaly;Heterotopia/heterotopion (other);Hypothalamic hamartoma;Lissencephaly;Microcephaly;Pachygyria;Partial Hemimegalencephaly;Periventricular nodular heterotopias;Polymicrogyria;Schizencephaly (malformation related only);Transmantle focal cortical dysplasia;Tuberous sclerosis;Other, specify;Focal cortical dysplasia (not transmantle FCD);Transmantle focal cortical dysplasia/bottom-of-sulcus dysplasia (BOSD);Heterotopia / heterotopion not periventricular nodular heterotopia;Macrocepahally Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59600 Imaging specific abnormality laterality type ImgSpcfcAbnrmltyLatTyp Laterality type relative to the anatomic site of the identified specific abnormality Laterality type relative to the anatomic site of the identified specific abnormality Side Left;Right;Bilateral Left;Right;Bilateral Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:48:08.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13976 Imaging abnormality distribution type ImgAbnrmlyDistributionTyp Location(s) of abnormality Location(s) of abnormality Distribution Unifocal;Multilobar;Hemispheric;Multifocal;Diffuse/generalized Unifocal;Multilobar (Involves multiple lobes);Hemispheric (Involves an entire supratentorial hemisphere);Multifocal;Diffuse/generalized Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18718 Imaging scanner strength value type other text ImgScannerStrgthValTypOTH The free-text field related to 'Imaging scanner strength value type', specifying other text. Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported The free-text field related to 'Imaging scanner strength value type', specifying other text. Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 2.10 2024-03-18 15:21:17.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C59601 Imaging specific abnormality contrast agent use indicator ImgSpcAbnCntAgnUseInd Indicator as to whether imaging contrast enhancement was used for the specific abnormality imaging scan Indicator as to whether imaging contrast enhancement was used for the specific abnormality imaging scan Contrast enhancing? Yes;No;N/A Yes;No;Not applicable Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:52:47.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13977 Imaging abnormality cortical anatomic site ImgAbnrmlyCortclAnatSite Anatomic site of the abnormality in the brain cortex Anatomic site of the abnormality in the brain cortex Locations - Cortical Basal occipital;Dorsal lateral frontal;Dorsal lateral parietal;Frontal Polar;Insula;Lateral occipital;Lateral temporal;Mesial frontal;Mesial occipital;Mesial parietal;Mesial temporal;Orbital frontal;Temporal polar Basal occipital (BO);Dorsal lateral frontal (DLF);Dorsal lateral parietal (DLP);Frontal Polar (FP);Insula (INS);Lateral occipital (LO);Lateral temporal (LT);Mesial frontal (MF);Mesial occipital (MO);Mesial parietal (MP);Mesial temporal (MT);Orbital frontal (OF);Temporal polar (TP) Alphanumeric Adult;Pediatric Supplemental 4.00 2024-02-29 15:48:13.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59591 Imaging normality status ImgNormalStat Status of the result of the imaging scan Status of the result of the imaging scan Imaging Normality Normal;Abnormal;Incidental;Other/indeterminant class Normal;Abnormal;Incidental (not relevant for epilepsy evaluation);Other / indeterminant class (includes amongst others: incomplete hippocampal inversion/malrotation, MNVT, focal region of white or grey matter signal abnormality of uncertain diagnosis) Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 13:57:31.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C59602 Imaging hippocampal sclerosis type ImgHippcmplSclrssTyp Type of specific hippocampal sclerosis abnormality of diagnostic conclusion drawn from scan Type of specific hippocampal sclerosis abnormality of diagnostic conclusion drawn from scan If applicable, specify Other, specify;HS only;HS plus temporal dysplasia/atrophy;Remote lesion/pathology plus HS, dual pathology Other, specify;Hippocampal sclerosis only;Hippocampal sclerosis plus temporal dysplasia/atrophy;Remote lesion/pathology plus Hippocampal sclerosis, dual pathology Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:57:21.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C13978 Imaging abnormality subcortical anatomic site ImgAbnrmlySubcortclAntmicSite The location(s) of the abnormality below the brain cortex The location(s) of the abnormality below the brain cortex Locations - Subcortical Basal ganglia;Callosum;Grey-white matter junction;Periventricular;Thalamus;White matter-other Basal ganglia;Callosum;Grey-white matter junction;Periventricular;Thalamus;White matter-other Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C59592 Imaging abnormality description type ImgAbnrmlyDscrptnTyp Type of description of imaging abnormalities Type of description of imaging abnormalities If Abnormal, describe abnormality type(s) 1;2;3;4;5;6;7 1 = Hippocampal sclerosis (HS);2 = Malformation of cortical development (MCD);3 = Vascular;4 = Neoplasm (If Developmental tumor-like lesion, see MCD to classify);5 = Inflammatory/infectious;6 = Atrophy or tissue loss;7 = Tumor-like lesion (e.g., epidermoid and dermoid) Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:09:20.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59603 Imaging hippocampal sclerosis type other text ImgHippcmplSclrssTypOTH The free-text field related to 'Imaging hippocampal sclerosis type' specifying other text The free-text field related to 'Imaging hippocampal sclerosis type' specifying other text Other, specify Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 15:05:37.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

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C13979 Imaging abnormality feature type ImgAbnrmlyFeatureTyp The present abnormality feature(s) The present abnormality feature(s) Features Agenesis;Atrophy;Cortical thinning;Cystic (including multicystic);Decreased grey-white matter distinction;Dysgenesis (includes dysmorphology of cortical mantle);Heterotopic tissue versus migration abnormality;Hypertrophy;Hyperplasia (grey or white matter);Hypoplasia (grey or white matter);Loss of architecture (specific to hippocampus);Malformation related white matter signal abnormality Agenesis;Atrophy;Cortical thinning;Cystic (including multicystic);Decreased grey-white matter distinction;Dysgenesis (includes dysmorphology of cortical mantle);Heterotopic tissue versus migration abnormality;Hypertrophy;Hyperplasia (grey or white matter);Hypoplasia (grey or white matter);Loss of architecture (specific to hippocampus);Malformation related white matter signal abnormality Alphanumeric Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C59593 Imaging abnormality description type other text ImgAbnrmlyDscrptnTypOTH The free-text field related to 'Imaging abnormality description type', specifying other text. The free-text field related to 'Imaging abnormality description type', specifying other text. Other / indeterminant class (includes amongst others: incomplete hippocampal inversion/malrotation, MNVT, focal region of white or grey matter signal abnormality of uncertain diagnosis) Alphanumeric Adult;Pediatric Supplemental 1.00 2023-08-11 14:18:56.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

CSV