CDE Detailed Report

Disease: Multiple Sclerosis
Sub-Domain: Imaging Diagnostics
CRF: Magnetic Resonance Imaging (MRI)

Displaying 1 - 16 of 16
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
C15362 Imaging QA/QC performed indicator ImgQAQCPerfInd Was image-based QA/QC performed? Was image-based QA/QC performed? Was scan-based QA/QC performed Yes;No;Unknown Yes;No;Unknown Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15368 Imaging estimated glomerular filtration rate (eGFR) performed date and time ImgeGRFPerfDateTime Date and time (if applicable) estimated glomerular filtration rate (eGFR) performed Date and time (if applicable) estimated glomerular filtration rate (eGFR) performed Date estimated glomerular filtration rate (eGFR) was performed Date or Date & Time

Test date must be within 30 days of scan date and cannot be after scan date to be a valid test. 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.).

ACR Manual on Contrast Media Version 7 Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15644 Imaging QA/QC result ImgQAQCReslt Results of image-based QA/QC Results of image-based QA/QC Indicate QA/QC results Pass;Fail Pass;Fail Alphanumeric

Only to be answered if 'Was scan-based QA/QC performed?' is answered 'yes'.

No references available Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15647 Imaging elapsed time from injection to post-Gd T1-weighted sequence value ImgElTimInjecPostGdT1WSeqVal Delay in time from injection to start of post-gadolinium (Gd) T1-weighted sequence in minutes Delay in time from injection to start of Post-Gadolinium T1-weighted sequence in minutes What was the delay in time from injection to start of post-Gd T1-weighted sequence Numeric Values

Highly recommended for: Imaging studies.

Record the time in minutes. Values must be within range of 0 - 60.

No references available Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 60 minute
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 Imaging 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.). For SCI: The investigation may be carried out at any time after the spinal cord injury. Therefore the date of data collection of the investigation is imperative to be able to identify the data collected in relation to other data collected on the same individual at various time points. In addition, the date is likewise important to have the time interval from date of birth (age), and time interval from date of injury (time since injury).

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 Biering-SØrensen F, Craggs M, Kennelly M, Schick E, Wyndaele J-J. International urinary tract imaging basic spinal cord injury data set. Spinal Cord 2009;47:379-83. Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C15651 Imaging estimated glomerular filtration rate (eGFR) result value ImgEGRFReslt Estimated glomerular filtration rate (eGFR) result in mg/dL Estimated glomerular filtration rate (eGFR) result in mg/dL Estimated glomerular filtration rate (eGFR) result Numeric Values

The equation requires four variables: serum or plasma creatinine (Scr), age in years (18 years or older), gender, race (African American or not); When Scr is in mg/dL: eGFR (mL/min/1.73 m2) = 186 x (Scr)-1.154 x (Age)-0.203 x (0.742 if female) x (1.210 if African American). Record result in mg/dL. Values must be within range of 0 - 120 mL/dL.

ACR Manual on Contrast Media Version 7 Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 120 milligram per deciliter
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 Field Strength of Scanner Used 1.5T;3.0T;4.0T;7.0T;Other, specify 1.5T;3.0T;4.0T;7.0T;Other, specify Alphanumeric

No additional instructions

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

Tesla
C18690 Imaging analysis software other text ImgAnlysisSftwrOTH The free-text field related to 'Imaging analysis software name' specifying other text. Name of the software used for data processing or analysis of the imaging study. The free-text field related to 'Imaging analysis software name' specifying other text. Name of the software used for data processing or analysis of the imaging study. Other, specify Alphanumeric

No additional instructions

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

Free-Form Entry

C02496 Imaging scanner manufacturer name ImgScannerManufName Name of manufacturer of imaging scanner Imaging scanner manufacturer name Scanner Manufacturer GE;Siemens;Philips;Other, specify GE;Siemens;Philips;Other, specify Alphanumeric

No additional instructions

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 2013-07-25 08:54:08.2 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18716 Imaging scanner manufacturer other text ImgScannerManufOTH The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner Other, specify Alphanumeric

No additional instructions

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 1.00 2014-05-27 13:34:46.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C10842 Imaging analysis software name ImgAnlysisSftwrName Name of the software used for data processing or analysis of the imaging study. Name of the software used for data processing or analysis of the imaging study. MRI Software Version Number Scanner provided;FSL;DtiStudio;SPM;AFNI;FreeSurfer;3D SLICER;Brain Voyager;Dipy;LC model;MRICron;TrackVis;MIPAV;Other, specify Scanner provided;FSL;DtiStudio;SPM;AFNI;FreeSurfer;3D SLICER;Brain Voyager;Dipy;LC model;MRICron;TrackVis;MIPAV;Other, specify Alphanumeric

No additional instructions

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Magnetic Resonance Imaging (MRI) 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

No additional instructions

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

Free-Form Entry

Tesla
C15322 Imaging clinical visit date and time ImgClinVisDateTime Date and time of clinical visit coinciding with scan Date and time of clinical visit coinciding with scan Date of Clinical Visit coinciding with scan 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 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C18998 Imaging clinical visit other text ImgClinVisOTH The free-text field related to 'Imaging clinical visit type' specifying other text. The type of clinical visit coinciding with scan The free-text field related to 'Imaging clinical visit type' specifying other text. The type of clinical visit coinciding with scan Other, specify Alphanumeric

Additional study-specific values can be added to the code list as appropriate (e.g., Week 3 Visit 1)

No references available Adult;Pediatric Supplemental 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C15330 Imaging clinical visit type ImgClinVisTyp The type of clinical visit coinciding with scan The type of clinical visit coinciding with scan Clinical Visit type coinciding with scan Baseline;End of treatment;End of study;Missing Baseline;End of treatment;End of study;Missing Alphanumeric

Highly recommended for: Imaging studies.

Additional study-specific values can be added to the code list as appropriate (e.g., Week 3 Visit 1)

No references available Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C15358 Imaging gadolinium administered in window indicator ImgGdAdmWinInd The indicator for whether gadolinium was administered in the protocol window. The indicator for whether gadolinium was administered in the protocol window. Was Gadolinium administered in the protocol window Yes;No;Unknown Yes;No;Unknown Alphanumeric

Highly recommended for: Imaging studies

Choose one.

No references available Adult;Pediatric Supplemental?Highly Recommended 3.00 2013-06-11 00:00:00.0 Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV