CDE Detailed Report

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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
C02489 Vascular dissection status VasclrDisctStat Status of an incomplete disruption of one or more inner layers of an artery, which may be traumatic or spontaneous Status of an incomplete disruption of one or more inner layers of an artery, which may be traumatic or spontaneous Vascular dissection (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:10:19.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02421 Diffuse axonal injury status DiffseAxonlInjStat Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Diffuse axonal injury (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. If answered #26 "Indeterminate," or "Absent," skip to question 28.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02455 Midline shift supratentorial indicator MidlneShftSuprtentorialInd Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling Midline shift supratentorial (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:10:35.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02501 Vascular dissection site type VasclrDisctSiteTyp Site of the vascular dissection Site of the vascular dissection Vascular dissection site type Intracranial;Cervical Intracranial;Cervical Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:11:08.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02432 Extraaxial hematoma volume measurement ExtrAxlHematmVolMeasr Measured volume in cubic centimeters of the extraaxial hematoma (calculated from length, width, maximal thickness) Measured volume in cubic centimeters of the extraaxial hematoma (calculated from length, width, maximal thickness) Extraaxial hematoma volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:11:40.0 Imaging [php] [php_1]

Free-Form Entry

C02468 Subarachnoid hemorrhage extent type SAHExtentTyp Type of distribution of the subarachnoid hemorrhage (SAH) Type of distribution of the subarachnoid hemorrhage (SAH) Subarachnoid hemorrhage extent type Diffuse;Focal Involving more than two contiguous lobes or brain regions, supra- and infratentorial compartments, or multiple basal cisterns;In 1-2 locations or lobes of the brain Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:12:52.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02479 Subdural hematoma mixed density or CSF-like collection findings type SDHMxDenstyCSFCollctFindTyp Characteristics of the subdural hematoma/mixed density subdural collection Characteristics of the subdural hematoma/mixed density subdural collection Subdural hematoma mixed density or CSF - like collection findings type Hyperintense/dense;Isointense/dense;Hypointense/dense Hyperintense/dense;Isointense/dense;Hypointense/dense Alphanumeric

Choose all that apply

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:14:18.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02409 Cisternal compression type CistCompressTyp Type of cisternal compression Type of cisternal compression Cisternal compression type Visible but compressed - Asymmetric;Visible but compressed - Symmetric;Mixed;Obliterated Visible but compressed - Symmetric;Mixed (some cisterns open, others compressed/obliterated);Obliterated (all cisterns);Visible but compressed - Asymmetric Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:13:15.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02444 Intraventricular hemorrhage ventriculomegaly status IntravntrcHmrrghVntrclmglyStat Status of ventriculomegaly (acute hydrocephalus) Status of ventriculomegaly (acute hydrocephalus) Intraventricular hemorrhage ventriculomegaly status Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02490 Vascular dissection anatomic site VasclrDisctAntmicSite Anatomic site of the vascular dissection Anatomic site of the vascular dissection Vacular dissection anatomic site Carotid - R;Carotid - L;Vertebral - R;Vertebral - L;Other - R;Other - L;Cervical - R;Cervical - L;Intracranial - R;Intracranial - L Carotid - R;Carotid - L;Vertebral - R;Vertebral - L;Other - R;Other - L;Cervical - R;Cervical - L;Intracranial - R;Intracranial - L Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:14:53.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02422 Brain edema finding type EdemaFindTyp Further describes the brain edema Further describes the brain edema Brain edema finding type Cytotoxic;Vasogenic;Interstitial;Osmotic;Indeterminate Cytotoxic;Vasogenic;Interstitial;Osmotic;Indeterminate Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:15:26.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02456 Midline shift supratentorial displacement type MidlineShiftSupratentDisplTyp Side of the midline shift Side of the midline shift Midline shift supratentorial displacemnt type Right-to-left;Left-to-right Right-to-left;Left-to-right Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:17:35.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02502 Intraventricular hemorrhage pattern type IntraventricHmrrhgPattrnTyp Type of pattern of intraventricular hemorrhage associated findings Type of pattern of intraventricular hemorrhage associated findings Intraventricular hemorrhage pattern type Obstructive;Non-obstructive Obstructive;Non-obstructive Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02433 Ventricle - fourth shift effacement measurement Ventric4thShiftEffaceMeasr Measured amount of fourth ventricle shift/effacement in mm (maximal distance from expected location in any direction) Measured amount of fourth ventricle shift/effacement in mm (maximal distance from expected location in any direction) Ventricle - fourth shift effacement measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:17:51.0 Imaging [php] [php_1]

Free-Form Entry

C02469 Subarachnoid hemorrhage indicator SAHStatus Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging Subarachnoid hemorrhage Present;Absent;Indeterminate Present;Absent;Indeterminate Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:18:39.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02480 Subdural hematoma mixed density CSF-like collection indicator SDHMxDensCSFCollctInd Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminat Subdural hematoma- mixed density or CSF-like collection (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. See also section on Atrophic Changes.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02410 Cisternal compression status CstrnlCompressStat Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma Cisternal compression Present;Indeterminate;Absent Cisternal compression is present in at least one location;;Cisterns normal Alphanumeric

Choose one. If answered #12 "Indeterminate," or "Absent," skip to question 14. For children under age 3, cisternal appearance may be variable.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:19:12.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02445 Intraventricular hemorrhage volume measurement IVHVolMeasr Measured volume in cubic centimeters of intraventricular hemorrhage Measured volume in cubic centimeters of intraventricular hemorrhage Intraventricular hemorrhage volume measurement Numeric Values

No instructions available

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-19 21:30:46.813 Imaging [php] [php_1]

Free-Form Entry

cubic centimeter
C02491 Venous sinus injury status VenousSinusInjStat Status of compression (>50%), occlusion, or laceration of a dural venous sinus due to trauma Status of compression (>50%), occlusion, or laceration of a dural venous sinus due to traum Venous sinus injury Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02423 Brain edema extent type EdemaExtentTyp Extent of the brain edema Extent of the brain edema Brain edema extent type Focal;Lobar;Multilobar;Hemispheric;Bihemispheric;Posterior fossa;Global Involves less than half of one lobe;Involves more than half of one lobe;Involves multiple lobes;Involves an entire supratentorial hemisphere;Involves both hemispheres;Involves the cerebellum and/or brainstem;Involves the entire brain Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:20:15.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02457 Penetrating injury brain associate finding type PenetratngInjBrainAssocFindTyp Findings related to penetrating injury Findings related to penetrating injury Penetrating injury associated findings (choose all that apply) Through and through trajectory (entrance and exit sites);Transventricular trajectory;Crosses midline;Indriven fragments (bone, foreign bodies) Through and through trajectory (entrance and exit sites);Transventricular trajectory;Crosses midline;Indriven fragments (bone, foreign bodies) Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:20:47.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02400 Brain volumetric analysis measurement BrainVolumetrcAnlysMeasr Measured brain volume in cubic centimeters Measured brain volume in cubic centimeters Brain volumetric analysis measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

cubic centimeter
C02503 Diffuse axonal injury traumatic axonal injury lesion count DAITAILesnNum Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI) Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI) Diffuse axonal injury and traumatic axonal injury lesions number Numeric Values

No instructions available DAI and TAI lesions may be hemorrhagic and are thus often identified with GRE/SW-imaging. Newer MR studies, such as diffusion tensor imaging (DTI), are able to demonstrate white matter fiber tract injury even when the standard MRI is negative. Both DAI and TAI injuries may also be found along with a wide variety other traumatic entities such as SDH, EDH, and contusions, because of the large heterogeneous forces involved in causing these lesions.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:21:25.0 Imaging [php] [php_1]

Free-Form Entry

C02434 Ventricle - fourth shift effacement displacement type Ventric4thShiftEffaceDisplTyp Displacement direction of fourth ventricle shift/effacement Displacement direction of fourth ventricle shift/effacemen Ventricle - fourth shift effacement displacement type Right-to-left;Left-to-right;Anterior;Posterior Right-to-left;Left-to-right;Anterior;Posterior Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02470 Subarachnoid hemorrhage anatomic site SubarachndHemorrhgAntmicSite Anatomic site of the subarachnoid hemorrhage (SAH) Anatomic site of the subarachnoid hemorrhage (SAH) Subarachnoid hemorrhage anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Alphanumeric

Choose all that apply. List each lesion as a separate entry. Patients with suprasellar finding may have increased risk of diabetes insipidus.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:22:46.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02481 Subdural hematoma mixed density or CSF-like collection anatomic site SDHMxDenstyCSFCollctAntmicSite Anatomic site of the subdural hematoma mixed density subdural or CSF-like collection Anatomic site of the subdural hematoma mixed density subdural or CSF-like collection Subdural hematoma mixed density or CSF-like collection anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:25:04.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02411 Laterality type LatTyp Laterality type relative to the anatomic site of the body examined or affected Laterality type relative to the anatomic site of the body examined or affected Cisternal compression laterality type Bilateral;Left;Right;Unknown;Midline Bilateral;Left;Right;Unknown;Midline Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02446 Intraventricular hemorrhage status IVHStatus Indicator of acute-appearing blood within the ventricles Indicator of acute-appearing blood within the ventricles Intraventricular hemorrhage Present;Absent;Indeterminate Present;Absent;Indeterminate Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:24:15.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02492 Venous sinus injury anatomic site VenousSinusInjryAntmicSite Anatomic site of the venous sinus injury Anatomic site of the venous sinus injury Venous sinus injury anatomic site Sagittal sinus - Posterior (occipital);Transverse sinus - R;Transverse sinus - L;Sigmoid sinus - R;Sigmoid sinus - L;Sagittal sinus - Anterior (frontoparietal) Sagittal sinus - Posterior (occipital);Transverse sinus - R;Transverse sinus - L;Sigmoid sinus - R;Sigmoid sinus - L;Sagittal sinus - Anterior (frontoparietal) Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:25:52.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02424 Brain edema status EdemaStat Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain Edema (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. Because of changes in myelination during development, care must be taken to interpret density/intensity in young children against age-matched norms for CT and MRI.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:26:44.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02458 Penetrating injury deepest extent penetrated brain anatomic site PenetrateInjDeepExtntAntSite Anatomic site of the deepest layer of the head penetrated by the injury Anatomic site of the deepest layer of the head penetrated by the injury Penetrating injuries deepest extenet penetrated anatomic site Scalp;Skull;Dura;Parenchyma Scalp;Skull;Dura;Parenchyma Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:27:22.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02401 Brain atrophy encephalomalacia result BrainAtrphEncphlmlReslt Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Brain atrophy or encephalomalacia Present;Likely;Indeterminate;Absent Tissue loss seen over serial images;Tissue loss in typical pattern, not seen on serial images;Nonspecific tissue loss or prominence of CSF spaces, duration or cause unknown; Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02504 Brain edema volume measurement EdemaVolMeasr Measured volume in cubic centimeters of the brain edema Measured volume in cubic centimeters of the brain edema Brain edema volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02435 Ventricle - fourth shift effacement status FourVentShftEffcmntStat Status of displacement or effacement of the fourth ventricle 2 mm or more due to adjacent mass lesions or brain swelling Status of displacement or effacement of the fourth ventricle 2 mm or more due to adjacent mass lesions or brain swellin Fourth ventricle shift or effacement (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02471 Subdural hematoma acute type SDHAcuteAntmicSite Type of acute subdural hematoma (SDH) Type of acute subdural hematoma (SDH) Subdural hematoma acute type Heterogeneous (i.e. mixed density);Homogeneous Heterogeneous (i.e. mixed density);Homogeneous Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02482 Subdural hematoma mixed density CSF-like collection volume measurement SDHMxDenstyCSFCollctVolMeasr Measured volume in cubic centimeters of the subdural hematoma mixed density or CSF-like collection (calculated from length, width, maximal thickness) Measured volume in cubic centimeters of the subdural hematoma mixed density or CSF-like collection (calculated from length, width, maximal thickness) Subdural hematoma mixed density or CSF - like collection volume measurement Numeric Values

No instructions available

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:29:30.0 Imaging [php] [php_1]

Free-Form Entry

C02412 Cisternal compression anatomic site CistCompressAntmicSite Anatomic site of cisternal compression Anatomic site of cisternal compressio Cisternal compression anatomic site Perimesencephalic cistern;Suprasellar cistern;Cisterna magna;Prepontine cistern;Superior cerebellar cistern Perimesencephalic cistern;Suprasellar cistern;Cisterna magna;Prepontine cistern;Superior cerebellar cistern Alphanumeric

Choose all that apply for each abnormal cistern.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02447 Intraventricular hemorrhage anatomic site ICHAntmicSite Anatomic site of the intraventricular hemorrhage Anatomic site of the intraventricular hemorrhag Intraventricular hemorrhage anatomic site Lateral ventricle - R;Lateral ventricle - L;Third Ventricle;Fourth ventricle Lateral ventricle - R;Lateral ventricle - L;Third Ventricle;Fourth ventricle Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02493 Venous sinus injury morphology type VenousSinusInjMorphTyp Morphology of the venous sinus injury Morphology of the venous sinus injury Venous sinus injury morphology type Compression;Occlusion;Laceration Compression;Occlusion;Laceration Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:30:31.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02425 Brain edema anatomic site EdemaAntmicSite Anatomic site of the brain edema Anatomic site of the brain edema Brain edema anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:30:50.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02459 Penetrating injury brain status PenetratngInjBrainStat Status of injuries caused by traumatic forces which penetrate any of the normal layers of the head, including scalp, skull, dura, and brain (excluding superficial scalp injuries) Status of injuries caused by traumatic forces which penetrate any of the normal layers of the head, including scalp, skull, dura, and brain (excluding superficial scalp injuries) Penetrating injury (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. If answered #19 "Indeterminate," or "Absent," skip to question 21.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:31:23.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02402 Brain atrophy encephalomalacia anatomic site BrainAtrphEncphlmlAnatSite Anatomic site of the brain atrophy/encephalomalacia Anatomic site of the brain atrophy/encephalomalacia Brain atrophy or encephalomalacia anatomic site Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-07-11 12:12:40.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02505 Marshall CT classification code MrshlCTClassCode Code for Marshall CT classification Code for Marshall CT classification Marshall CT classification code 2;4;5;1;3 Diffuse injury: Cisterns present with shift 0-5 mm, lesions present, but no high or mixed density lesion >25 cc. May include bone fragments and foreign bodies;Diffuse injury with shift: Shift >5 mm, no high or mixed density lesion >25 cc.;Mass lesions: High or mixed density lesion > 25cc.;Diffuse injury, NVP: Intracranial pathology not visible on CT scan;Diffuse injury with swelling: Cisterns compressed or absent, shift 0-5 mm, no high or mixed density lesion >25 cc Numeric Values

Choose one. If answered #8 "Normal," "Not done," or "Unknown," skip remaining questions.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02436 Ventricle - fourth shift effacement findings type Vent4thShftEffacementFindTyp Other features of the fourth ventricle shift/effacement Other features of the fourth ventricle shift/effacemen Ventricle - fourth shift or effacement findings type Brainstem compression;Hydrocephalus Brainstem compression;Hydrocephalus Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02472 Subdural hematoma acute status SubDurHematmAcutStat Status of a collection of acute blood between the arachnoid and the dura, typically (though not always) hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation. On MRI, the acute SDH is iso/hypointense on T1 and very hypointense on T2, GRE, and SW-imaging. Note: Please see additional categories below for subacute, chronic, and mixed collections if these better describe the lesion, or if the chronicity/timing is uncertain Status of a collection of acute blood between the arachnoid and the dura, typically hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation Acute subdural hematoma Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. Recommend collection at least during initial medical treatment. Add date stamp for when assessed.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02483 Traumatic aneurysm findings type TraumAneurysmFindType Further describes the traumatic aneurysm Further describes the traumatic aneurysm Traumatic aneurysm findings type Intraluminal thrombus;Cavernous (intradural);Skull fracture, with penetrating injury;Skull fracture, without penetrating injury Intraluminal thrombus;Cavernous (intradural);Skull fracture, with penetrating injury;Skull fracture, without penetrating injury Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:46:30.0 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02413 Contusion findings type ContusnFindTyp Type of contusion findings in the image of the participant's brain Type of contusion findings in the image of the participant's brain Contusion findings Non-hemorrhagic;Cortical;Subcortical;Deep brain structures;Probable brain laceration (linear hemorrhagic or non-hemorrhagic pattern, often associated with overlying skull fracture);Hemorrhagic Non-hemorrhagic;Cortical;Subcortical;Deep brain structures;Probable brain laceration (linear hemorrhagic or non-hemorrhagic pattern, often associated with overlying skull fracture);Hemorrhagic Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2022-09-08 09:45:53.0 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02448 Ischemia infarction hypoxic-ischemic injury acute subacute finding type IschInfrctHypoIschInjASaFndTyp Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Ischemia or infarction or hypoxic-ischemic injury finding type Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

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 Imaging study date and time 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.).

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.10 2024-02-29 15:51:00.0 Imaging [php] [php_1]

Free-Form Entry

C02426 Epidural hematoma findings type EpidurHematmaFindTyp Type of epidural hematoma (EDH) Type of epidural hematoma (EDH) Epidural hematoma findings type Likely venous (due to association with adjacent bony injury/fracture, venous sinus, size, distribution, timing);Likely arterial (due to "swirl", different densities, location near major dural artery) Likely venous (due to association with adjacent bony injury/fracture, venous sinus, size, distribution, timing);Likely arterial (due to "swirl", different densities, location near major dural artery) Alphanumeric

Choose all that apply. Recommend collection at least during initial medical treatment. Add date stamp for when assessed.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

CSV