CDE Detailed Report

Disease: content
Sub-Domain: Imaging Diagnostics
CRF: welcome

Displaying 1 - 20 of 20
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (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 / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C02495 Imaging scanner strength value ImgScannerStrgthVal Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Scanner 1.5T;3.0T;Other, specify 1.5T;3.0T;Other, specify Alphanumeric

Check only one. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

Tesla
C18518 Brain laterality type BrainLateralityTyp Brain laterality of interest Brain laterality type Analysis: Hemisphere Right;Left;Bilateral;Unknown Right;Left;Bilateral;Unknown Alphanumeric

(Check only one)

No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13962 Seizure last occurrence date and time SeizLastOccurDateTime The date and time the last seizure occurred The date and time the last seizure occurred Last seizure occurrence in relation to study Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C18519 Imaging temporal brain area language type ImgTemporalBrainAreaLangTyp Imaging location on temporal brain area for language Imaging location on temporal brain area for language Language Laterality Right;Left;Bilateral;Unknown Right;Left;Bilateral;Unknown Alphanumeric

(Check only one)

No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13963 Imaging perfusion technique type ImgPerfusionTechniqueTyp Method of perfusion for imaging Method of perfusion for imaging Technique BOLD;ASL;Other, specify Blood oxygen level dependent (BOLD);Arterial spin labeling (ASL);Other, specify Alphanumeric

Check only one. If other, specify.

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

Single Pre-Defined Value Selected

C18520 Language memory paradigms description text LangMemoryParadigmDescTxt A description of the language or memory paradigm that was used. A description of the language or memory paradigm that was used. Description of Language and Memory Paradigms Alphanumeric

(TBD-list if Visual or Auditory)

No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

C13964 Imaging complicating factor type ImgComplicatingFactorTyp Factors that may hinder proper data acquisition and interpretation Factors that may hinder proper data acquisition and interpretation Complicating Factors Postictal;Mass;Vascular malformation;Carotid stenosis Postictal;Mass;Vascular malformation;Carotid stenosis Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18718 Imaging scanner strength other text ImgScannerStrgthOTH The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Other, specify Alphanumeric

Check only one. If other, specify.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

Tesla
C13965 Imaging paradigm task design type ImgParadigmTaskDesignTyp Nature of stimuli presented Nature of stimuli presented Paradigm Task Design Block Design;Event related Block Design;Event related Alphanumeric

Check all that apply

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

Multiple Pre-Defined Values Selected

C18893 Imaging perfusion technique other text ImgPerfusionTechniqueOTH The free-text field related to 'Imaging perfusion technique type' specifying other text. Method of perfusion for imaging The free-text field related to 'Imaging perfusion technique type' specifying other text. Method of perfusion for imaging Other, specify Alphanumeric

Check only one. If other, specify.

No references available Adult;Pediatric Supplemental 1.00 2012-10-05 00:00:00.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C13966 Imaging behavioral monitoring indicator ImgBehavioralMonitoringInd Responses to paradigm items recorded or not Responses to paradigm items recorded or not Behavioral Monitoring Yes;No Yes;No Alphanumeric

Check only one

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

Single Pre-Defined Value Selected

C18894 Imaging functional magnetic resonance imaging analysis other text ImgFMRIAnlysisOTH The free-text field related to 'Imaging functional magnetic resonance imaging analysis type' specifying other text. Types of functional magnetic resonance imaging (fMRI) analytic methods The free-text field related to 'Imaging functional magnetic resonance imaging analysis type' specifying other text. Types of functional magnetic resonance imaging (fMRI) analytic methods Other, specify Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C13967 Imaging domain tested type ImgDomainTestedTyp Cognitive Area or brain function tested during scan Cognitive Area or brain function tested during scan DomainTested Motor;Somatosensory;Visual;Language;Expressive;Receptive;Both;Memory;Explicit;Implicit;Encoding;Recall;Verbal;Visual spatial;Both (memory) Motor;Somatosensory;Visual;Language;Language-Expressive;Language-Receptive;Language-Both;Memory;Memory-Explicit;Memory-Implicit;Memory-Encoding;Memory-Recall;Memory-Verbal;Memory-Visual spatial;Memory-Both Alphanumeric

Check all that apply

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

Multiple Pre-Defined Values Selected

C18895 Brain region of interest other text BrainROIOTH The free-text field related to 'Brain region of interest type' specifying other text. Region of interest in the brain The free-text field related to 'Brain region of interest type' specifying other text. Region of interest in the brain Other, specify Alphanumeric

Specify region if ROI

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C13968 Imaging functional magnetic resonance imaging analysis type ImgfMRIAnlysisTyp Types of functional magnetic resonance imaging (fMRI) analytic methods Types of functional magnetic resonance imaging (fMRI) analytic methods Analysis Native space;Standard space;SPM;AFNI;FSL;MEDX;Visual blinded;Visual unblinded;ROI;Mask;VBM;Other, specify Native space;Standard space (Talairach, MNI, other);Statistical parametric mapping;Analysis of functional neuroimages;fMRI software library;software program,no def found,poss proprietary name;Visual blinded;Visual unblinded;Region of interest;Mask;Voxel-based morphometry;Other, specify Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C13970 Brain region of interest type BrainROITyp Region of interest in the brain Region of interest in the brain If ROI, specify region Frontal;Parietal;Temporal;Occipital;White matter;Basal ganglia;Pons;Brain stem;Unknown;Other, specify Frontal;Parietal;Temporal;Occipital;White matter;Basal ganglia;Pons;Brain stem;Unknown;Other, specify Alphanumeric

Specify region if ROI

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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 Memory: Hemisphere Laterality Bilateral;Left;Right;Unknown Bilateral;Left;Right;Unknown Alphanumeric

Indicate which of the following cranial nerves are abnormal

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13971 Imaging region of interest activation mean value ImgROIActivationMeanVal The average amount of activation observed/measured in the region of interest (ROI) The average amount of activation observed/measured in the region of interest If ROI,specify activation mean Numeric Values

Specify activation mean if ROI

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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 of Study Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C13972 Imaging area language anatomic site ImgAreaLanguageAntmicSite Imaging location on brain area for language Imaging location on brain area for language Language Frontal;Temporal;Hemisphere Frontal;Temporal;Hemisphere Alphanumeric

Check only one

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

Single Pre-Defined Value Selected

CSV