CDE Detailed Report

Disease: Epilepsy
Sub-Domain: Imaging Diagnostics
CRF: Positron Emission Tomography (PET) Localization

Displaying 1 - 14 of 14
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
C08258 Imaging radioligand type ImgRadiolgndTyp Isotope-labeled bioactive compound (generic or common name) used in the imaging scan Isotope-labeled bioactive compound (generic or common name) used in the imaging scan Ligand FDG;FMZ;AMT;FCWAY;Other, specify FDG;FMZ;AMT;FCWAY;Other, specify Alphanumeric

Check only one. If other, specify.

No references available Adult;Pediatric Supplemental 3.00 2013-07-22 09:34:41.527 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18711 Imaging radioligand other text ImgRadiolgndOTH The free-text field related to 'Imaging radioligand type' specifying other text. Isotope-labeled bioactive compound (generic or common name) used in the imaging scan The free-text field related to 'Imaging radioligand type' specifying other text. Isotope-labeled bioactive compound (generic or common name) used in the imaging scan Other, specify Alphanumeric

Check only one. If other, specify.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C08261 Imaging radioligand dose value ImgRadiolgndDosVal Dose of injected radioligand for the imaging scan Dose of injected radioligand for the imaging scan Dose, specify Numeric Values

Indicate dose of ligand

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Free-Form Entry

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 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C13994 Imaging PET localization processing type ImgPETLoclProcTyp Type of processing performed on image produced by positron emission tomography (PET) localization. Type of processing performed on image produced by positron emission tomography (PET) localization. Processing None-routine visual analysis;Co-registered to MRI;Co-registered CT;3D stereotactic surface projection (SSP);SPM analysis;EEG during uptake to assure interictal study None-routine visual analysis;Co-registered to MRI;Co-registered CT;3D stereotactic surface projection (SSP);SPM analysis;EEG during uptake to assure interictal study Alphanumeric

Check only one. If condition of study, indicate Ictal.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13995 PET localization rating type PETLocalRatTyp Localization rating indicator of imaging using positron emission tomography (PET). Localization rating indicator of imaging using positron emission tomography (PET). Rating Visual;Semi quantitative (ROI AI);Quantitative (ROI);Voxel based (SPM) Visual;Semi quantitative (ROI AI);Quantitative (ROI);Voxel based (SPM) Alphanumeric

Check only one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13996 PET localization uptake type PETLocalUptkTyp Indicates the degree of absorption or level of ligand tracer binding in the brain scan Indicates the degree of absorption or level of ligand tracer binding in the brain scan Uptake Increased;Decreased Increased;Decreased Alphanumeric

Check only one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13997 PET localization distribution pattern type PETLocalDistrPatrnTyp General pattern of tracer binding/uptake based on the Positron Emission Tomography (PET) scan General pattern of tracer binding/uptake based on the Positron Emission Tomography (PET) scan Distribution Global;Hemisphere;Multifocal;Lobar;Regional Global;Hemisphere;Multifocal;Lobar;Regional Alphanumeric

Check only one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C13998 PET localization cortical anatomic site PETLocalCortclAntmicSite The cortical anatomical site of tracer binding/uptake based on positron emission tomography (PET) The cortical location of tracer binding/uptake based on Ictal positron emission tomography (PET) Location Frontal Polar (FP);Mesial occipital (MO);Mesial frontal (MF);Lateral occipital (LO);Dorsal lateral frontal (DLF);Basal occipital (BO);Orbital frontal (OF);Temporal polar (TP);Mesial parietal (MP);Mesial temporal (MT);Insula (INS);Lateral temporal (LT);Dorsal lateral parietal (DLP);Thalamus;Basal ganglia;Cerebellum Frontal Polar (FP);Mesial occipital (MO);Mesial frontal (MF);Lateral occipital (LO);Dorsal lateral frontal (DLF);Basal occipital (BO);Orbital frontal (OF);Temporal polar (TP);Mesial parietal (MP);Mesial temporal (MT);Insula (INS);Lateral temporal (LT);Dorsal lateral parietal (DLP);Thalamus;Basal ganglia;Cerebellum Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C13999 PET localization study type PETLocalStdyTyp The PET localization study conclusion The PET localization study conclusion Study Conclusion Positive;Negative;Inconclusive Positive (e.g. definite abnormality or change(s) and localizes to a single predominant region);Negative (e.g. normal, no change);Inconclusive (e.g. some abnormality or change, but indeterminate or not definite) Alphanumeric

Check only one.

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value 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 Lateralization Left;Right;Bilateral;Not lateralized Left;Right;Bilateral;Not lateralized 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 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18529 Imaging positron emission tomography ictal cortical anatomic site ImgPETIctalCortclAntmicSite The anatomic side of the cortex examined or affected using Ictal positron emission tomography (PET) The anatomic side of the cortex examined or affected using Ictal positron emission tomography (PET) Side Left;Right Left;Right Alphanumeric

(Check all that apply)

No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

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. 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.).

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C18530 Imaging positron emission tomography ictal localization study type ImgPETIctalLocalizStudyTyp Type of imaging study of the brain during a seizure using Ictal positron emission tomography (PET) Type of imaging study of the brain during a seizure using Ictal positron emission tomography (PET) Condition of study Inter-Ictal;Ictal;Peri-Ictal Inter-Ictal;Ictal;Peri-Ictal Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-30 14:29:49.047 Positron Emission Tomography (PET) Localization Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV