CDE Detailed Report

Disease: Cerebral Palsy
Sub-Domain: Imaging Diagnostics
CRF: Neuroimaging Cerebral Palsy Magnetic Resonance Imaging

Displaying 1 - 37 of 37
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
C22912 Ventricular dilatation left lateral qualitative assessment status VentrDilatlLeftLatQuaAssStat The status related to qualitative assessment of left lateral ventricle dilation. The status related to qualitative assessment of left lateral ventricle dilation. Left lateral None;Mild;Moderate;Marked;Shunted None;Mild;Moderate;Marked;Shunted Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22866 Imaging magnetic resonance imaging date and time ImgMRIDateTime The date and time related to the magnetic resonance imaging The date and time related to the magnetic resonance imaging MRI study date and time Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C22878 Imaging brain cerebral atrophy diagnosis indicator ImgBrainCereAtroDiagInd The indicator related to brain cerebral atrophy being diagnosed from imaging. The indicator related to brain cerebral atrophy being diagnosed from imaging. Cerebral atrophy Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22913 Ventricular dilatation right lateral qualitative assessment status VentrDilatlRightLatQuaAssStat The status related to qualitative assessment of right lateral ventricle dilation. The status related to qualitative assessment of right lateral ventricle dilation. Right lateral None;Mild;Moderate;Marked;Shunted None;Mild;Moderate;Marked;Shunted Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22867 Imaging pulse sequence cerebral palsy type ImgPulseSeqCPTyp Type of imaging pulse sequence used in cerebral palsy specific case report form (this is using a different permissible value list that overlaps and combines terms within the Imaging pulse sequency type CDE). Type of imaging pulse sequence used in cerebral palsy specific case report form (this is using a different permissible value list that overlaps and combines terms within the Imaging pulse sequency type CDE). Imaging sequence T1;T2;T2Flair;GRE/SWI;SPGR;DWI/DTI;ADC;Other T1;T2;T2Flair;GRE/SWI;SPGR;DWI/DTI;ADC;Other Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C22879 Imaging brain other atrophy diagnosis indicator ImgBrainOtherAtrophyDiagInd The indicator related to brain other region atrophy being diagnosed from imaging. The indicator related to brain other region atrophy being diagnosed from imaging. Atrophy in other brain regions? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22914 Ventricular dilatation third ventricle qualitative assessment status VentrDilatlThirdVentQuaAssStat The status related to qualitative assessment of third ventricle dilation. The status related to qualitative assessment of third ventricle dilation. 3rd Ventricle None;Mild;Moderate;Marked;Shunted None;Mild;Moderate;Marked;Shunted Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C00001 Gestational age value GestatnlAgeVal Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject. Time elapsed in weeks between the first day of the last normal menstrual period and the day of delivery of the participant/subject. Gestational age at birth Numeric Values

Record the gestational age of the participant/subject in weeks and days. This element is intended for pediatric clinical studies.

Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 52 week 3192017
C22868 Imaging magnetic resonance imaging signal abnormality present indicator ImagMRISigAbPresInd The indicator related to magnetic resonance imaging signal abnormalities being present. The indicator related to magnetic resonance imaging signal abnormalities being present. Are signal abormalities present as listed in Section B? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-04 23:24:18.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22880 Imaging brain cyst diagnosis indicator ImgBrainCystDiagInd The indicator related to brain cyst being diagnosed from imaging. The indicator related to brain cyst being diagnosed from imaging. Cysts? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22915 Ventricular dilatation fourth ventricle qualitative assessment status VentrDilatlFourtVentQuaAssStat The status related to qualitative assessment of fourth ventricle dilation. The status related to qualitative assessment of fourth ventricle dilation. 4th Ventricle None;Mild;Moderate;Marked;Shunted None;Mild;Moderate;Marked;Shunted Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C00007 Birth date BirthDate Date (and time, if applicable and known) the participant/subject was born Date (and time, if applicable and known) the participant/subject was born Date of birth Date or Date & Time Adult;Pediatric Core 3.00 2013-07-25 08:54:08.2 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

793
C22869 Imaging magnetic resonance imaging differentiation gray white matter loss indicator ImagMRIDiffGrWhMatLossInd The indicator related to the magnetic resonance imaging having loss of gray/white matter differentiation. The indicator related to the magnetic resonance imaging having loss of gray/white matter differentiation. Is there loss of gray/white matter differentiation? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-04 23:29:18.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22881 Imaging brain scar gliosis diagnosis indicator ImgBrainScarGliosisDiagInd The indicator related to brain scarring gliosis being diagnosed from imaging. The indicator related to brain scarring gliosis being diagnosed from imaging. Scarring/gliosis? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22916 Ventricular dilatation extra axial qualitative assessment status VentrDilatlExtraAxialQuAssStat The status related to qualitative assessment of extra-axial ventricular/space dilation. The status related to qualitative assessment of extra-axial ventricular/space dilation. Extra-axial None;Mild;Moderate;Marked;Shunted None;Mild;Moderate;Marked;Shunted Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C00008 Age value AgeVal Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Age at MRI Numeric Values Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

0 1800 month
C22870 Imaging brain abnormal indicator ImagBrainAbnormalInd The indicator related to brain abnormalities as seen on imaging. The indicator related to brain abnormalities as seen on imaging. Are there any brain abnormalities as listed in Section C? No;Yes No;Yes Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-04 23:35:32.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22882 Imaging brain mineralization diagnosis indicator ImgBrainMineralizDiagInd The indicator related to brain mineralization being diagnosed from imaging. The indicator related to brain mineralization being diagnosed from imaging. Mineralization? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C56997 Neonatal brain injury pattern classification NeonatalBrainInjPattClass The National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN) classification of neonatal brain injury. The National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN) classification of neonatal brain injury. Pattern of Injury 0;1A;1B;2A;2B;3;N/A Normal;Minimal cerebral lesions only with no involvement of basal ganglia (BG) or Thalamus (T) or anterior limb of the internal capsule (ALIC) or posterior limb of the internal capsule (PLIC) and no area of watershed infarction;More extensive cerebral lesions without BGT, PLIC, ALIC involvement or infarction;Any BGT, ALIC, PLIC involvement or watershed infarction noted without any other cerebral lesions;Involvement of either BGT, ALIC, PLIC or area of infarction and additional cerebral lesions;Cerebral hemispheric devastation;Not applicable Alphanumeric Adult;Pediatric Supplemental 1.00 2017-09-12 13:57:11.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging 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 Left or Right Left;Right Left;Right Alphanumeric Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22871 Imaging diagnosis text ImagDiagTxt The free-text field related to diagnosis from imaging. The free-text field related to diagnosis from imaging. Overall diagnosis Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 03:56:05.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C22890 Corpus callosum thin hypoplasia status CorpCallThiHypoStat The status related to the thinning or hypoplasia of the median sagittal section of the brain. The status related to the thinning or hypoplasia of the median sagittal section of the brain. Corpus callosum thinning/hypoplasia Moderate;Marked;Equivocal;None Moderate;Marked;Equivocal;None Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C56998 Neonatal brain injury pattern classification text NeonatalBrainInjPattClassTxt The free-text field related to the National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN) classification of neonatal brain injury. The free-text field related to the National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN) classification of neonatal brain injury. Specify comments for N/A Alphanumeric Adult;Pediatric Supplemental 1.00 2017-09-12 13:57:11.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations 255

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 imaging read Date or Date & Time Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C22873 Imaging brain region anatomic site ImgBrainRegAnatSite The anatomic site related to region of brain for imaging. The anatomic site related to region of brain for imaging. Region Frontal;Temporal;Parietal;Occipital;Parasagittal area;Perirolandic;Caudate;Putamen;Globus Pallidus;Thalamus;Brain stem;Cerebellum Frontal;Temporal;Parietal;Occipital;Parasagittal area;Perirolandic;Caudate;Putamen;Globus Pallidus;Thalamus;Brain stem;Cerebellum Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:27:30.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C22891 Corpus callosum dysplasia status CorpCallDysplasStat The status related to dysplasia of the median sagittal section of the brain. The status related to dysplasia of the median sagittal section of the brain. Corpus callosum dysplasia Moderate;Marked;Equivocal;None Moderate;Marked;Equivocal;None Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Magnetic field strength 1.5T;3.0T 1.5T;3.0T Alphanumeric

Choose one.

Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

Tesla
C22874 Imaging brain site region anatomic site ImgBrainSiteRegAnatSite The anatomic site related to region site of brain for imaging. The anatomic site related to region site of brain for imaging. Site Periventricular;Cortical/subcortical Periventricular;Cortical/subcortical Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:27:30.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C22892 Corpus callosum agenesis status CorpCallAgenesisStat The status related to agenesis (failure to develop) of the median sagittal section of the brain. The status related to agenesis (failure to develop) of the median sagittal section of the brain. Corpus callosum agenesis None;Partial;Complete None;Partial;Complete Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10685 Imaging slice orientation type ImgSliceOrientTyp The slice orientation used in imaging acquisition The slice orientation used in imaging acquisition Slice orientation Axial;Coronal;Sagittal Axial;Coronal;Sagittal Alphanumeric Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22875 Imaging brain hemorrhage diagnosis indicator ImgBrainHemoDiagInd The indicator related to brain hemorrhage being diagnosed from imaging. The indicator related to brain hemorrhage being diagnosed from imaging. Hemorrhage? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22893 Corpus callosum mega status CorpCallMegaStat The status related to mega (enlarged/thickened) median sagittal section of the brain. The status related to mega (enlarged/thickened) median sagittal section of the brain. Mega (enlarged/thickened) corpus callosum None;Present None;Present Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18708 Imaging pulse sequence other text ImgPulseSeqOTH 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 Specify Alphanumeric Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C22876 Imaging brain edema diagnosis indicator ImgBrainEdemaDiagInd The indicator related to brain edema being diagnosed from imaging. The indicator related to brain edema being diagnosed from imaging. Edema? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22894 Corpus callosum anterior status CorpCallAnterStat The status related to anterior median sagittal section of the brain. The status related to anterior median sagittal section of the brain. Anterior commissure None;Normal;Reduced;Absent;Enlarged None;Normal;Reduced;Absent;Enlarged Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-06 13:32:31.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C22865 Reader initial text ReadInitialTxi The free-text field related to the initials of the reader. The free-text field related to the initials of the reader. Reader Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-04 21:30:04.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations 3

Free-Form Entry

C22877 Imaging brain infarction diagnosis indicator ImgBrainInfarctDiagInd The indicator related to brain infarction being diagnosed from imaging. The indicator related to brain infarction being diagnosed from imaging. Infarction? Yes;No;Indeterminant Yes;No;Indeterminant Alphanumeric Adult;Pediatric Supplemental 1.00 2016-12-05 04:43:09.0 Neuroimaging Cerebral Palsy Magnetic Resonance Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV