CDE Detailed Report

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

Displaying 1 - 24 of 24
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
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

Check only one

No references available 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

C18526 Imaging impression of specific abnormality comment text ImgImprsonSpecAbnrmlyCmntTxt Comments from diagnostic conclusions drawn from scan Comments from diagnostic conclusions drawn from scan Comments Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

Free-Form Entry

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

Check only one

No references available 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

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 Malformation of cortical development Alphanumeric

(MCD) If applicable, specify

No references available 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

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

Check only one

No references available 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

C18528 Imaging mesial temporal sclerosis type ImgMesialTemprlSclerosTyp Specified type of Mesial Temporal Sclerosis of diagnostic conclusion drawn from scan Specified type of Mesial Temporal Sclerosis of diagnostic conclusion drawn from scan Mesial Temporal Sclerosis Hippocampal sclerosis;Hippocampal sclerosis plus inter-lateral temporal dysplasia/atrophy;Hippocampal sclerosis with remote dual pathology Hippocampal sclerosis;Hippocampal sclerosis plus inter-lateral temporal dysplasia/atrophy;Hippocampal sclerosis with remote dual pathology (i.e., remote lesion) Alphanumeric No references available 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

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

Check all that apply

No references available 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

C18708 Imaging pulse sequence type other text ImgPulseSeqTypOTH The free-text field related to 'Imaging pulse sequence type', specifying other text. Type of imaging pulse sequence used The free-text field related to 'Imaging pulse sequence type', specifying other text. Type of imaging pulse sequence used Other, specify Alphanumeric

Indicate sequences obtained

No references available Adult;Pediatric Supplemental 2.00 2022-07-01 14:55:04.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

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 Lateralization Left;Right;Bilateral Left;Right;Bilateral Alphanumeric

Indicate which of the following cranial nerves are abnormal. Check only one

No references available 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

C13980 Imaging specific abnormality impression type ImgSpecAbnrmlyImpressTyp Diagnostic conclusion drawn from scan Diagnostic conclusion drawn from scan Impression of Specific Abnormalities Alphanumeric

Check all that apply

No references available 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

C18896 Imaging abnormality distribution other text ImgAbnrmlyDistributionOTH The free-text field related to 'Imaging abnormality distribution type' specifying other text. Location(s) of abnormality The free-text field related to 'Imaging abnormality distribution type' specifying other text. Location(s) of abnormality Other, specify Alphanumeric

Check only one

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

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 Exam 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 3.10 2024-02-29 15:51:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

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 Vascular Alphanumeric

Check all that apply

No references available 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

C18897 Imaging abnormality feature other text ImgAbnrmlyFeatureOTH The free-text field related to 'Imaging abnormality feature type' specifying other text. The present abnormality feature(s) The free-text field related to 'Imaging abnormality feature type' specifying other text. The present abnormality feature(s) Other, specify Alphanumeric

Check all that apply

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

Free-Form Entry

C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Sequences Obtained T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;rFOV;EPI T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;Reduced field of view (rFOV);Echo Planar Imaging (EPI) Alphanumeric

Indicate sequences obtained

No references available Adult;Pediatric Supplemental 4.00 2024-02-29 15:47:35.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C14041 Imaging neoplasm status type ImgNeoplasmStatusTyp Status type of Neoplasm Status type of Neoplasm Neoplasm Primary;Secondary Primary;Secondary Alphanumeric

Check all that apply

No references available 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

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 enhancement 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

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 Inflamatory/infectious Abscess;Cysticercosis;Encephalitis;Limbic encephalitis;Sarcoidosis;Vasculitis Abscess;Cysticercosis;Encephalitis;Limbic encephalitis;Sarcoidosis;Vasculitis Alphanumeric

Check all that apply

No references available 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

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

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 Atrophy or tissue loss Encephalomalacia;Focal or lobar atrophy;Trauma related;Vascular related Encephalomalacia (related to surgery, abscess, radiation, trauma);Focal or lobar atrophy (other);Trauma related;Vascular related (If caused by Stroke, see Vascular to classify) Alphanumeric

Check all that apply

No references available 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

C13974 Imaging normality indicator ImgNormalityInd The indicator to specify whether an imaging scan was normal, abnormal, or incidental The indicator to specify whether an imaging scan was normal, abnormal, or incidenta Imaging Normality Abnormal;Normal;Incidental Abnormal;Normal;Incidental (not relevant for epilepsy evaluation) Alphanumeric

Check only one. If abnormal, indicate number.

No references available 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

C14048 Imaging abnormality description text ImgAbnrmlyDescTxt The description of the type of imaging abnormalities The description of the type of imaging abnormalities Alphanumeric

Indicate value

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 1000

Free-Form Entry

C13975 Imaging abnormality count ImgAbnrmlyCt The number of imaging abnormality types The number of imaging abnormality types Numeric Values

Indicate value

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

Free-Form Entry

C18525 Imaging abnormality cortical side type ImgAbnrmlyCortclSideTyp Side of the abnormality in the brain cortex Side of the abnormality in the brain cortex Side Alphanumeric

(Check only one)

No references available 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

CSV