CDE Detailed Report
Disease: content
Subdomain Name: Imaging Diagnostics
CRF: welcome
Displaying 1 - 30 of 30
Subdomain Name: Imaging Diagnostics
CRF: welcome
Displaying 1 - 30 of 30
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C15531 | Imaging evoked potential stimulation frequency value | ImgEVStimulationFreqVal | The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test | The stimulation frequency used on the participant/subject as part of the Blink Reflex and Evoked Potential Imaging test | Stimulation frequency | Numeric Values |
Record in Hz |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
Hertz | |||||||||
| C15589 | Stimulus waveform type | StmlsWaveformTyp | The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Stimulus waveform | Biphasic;Monophasic;Other, specify | Biphasic;Monophasic;Other, specify | Alphanumeric |
Choose one. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55778 | Imaging inter peri ictal next headache start duration | ImagInterPeriIctNextHeStartDur | The duration of time until the start of the subject's next inter-ictal or peri-ictal headache | The duration of time until the start of the subject's next inter-ictal or peri-ictal headach | If inter-ictal or peri-ictal, duration of time until start of next headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:23:34.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C15538 | Imaging motor phosphene threshold percent value | ImgMtrPhsphnThrshldPrcntVal | The value (percentage) of the motor/phosphene threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The value (percentage) of the motor/phosphene threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Motor/Phosphene Threshold | Numeric Values |
Record as percentage (%) |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
percent | |||||||||
| C18025 | Intertrain interval duration value | IntertrainIntrvlDurVal | The duration of the intertrain interval used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The duration of the intertrain interval used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Intertrain interval duration | Alphanumeric |
Defined as the intervals between trains of pulses during a TMS sessions. Include units. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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| C55790 | Imaging transcranial magnetic stimulation pulse frequency | ImagTMSPulseFreq | The frequency of the subject's transcranial magnetic stimulation pulse | The frequency of the subject's transcranial magnetic stimulation puls | Pulse frequency | Numeric Values |
Record in Hz |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 14:11:25.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
Hertz | ||||||||||
| C15548 | Imaging stimulation intensity threshold type | ImgStmltnIntnstyThrshldTyp | The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Stimulation intensity | % of motor threshold;% of phosphene threshold;Other, specify | Percent of motor threshold;Percent of phosphene threshold;Other, specify | Alphanumeric |
Record % of motor threshold, % of phosphene threshold, or specify other unit. Other, specify |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18715 | Imaging radio frequency coil other text | ImgRFCoilOTH | The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned | The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned | Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C55791 | Imaging transcranial magnetic stimulation effect measure type | ImagTMSEffMeasrTyp | The type of effect measure performed, as part of the Transcraniam Magnetic Stimulation (TMS) Imaging test | The type of effect measure performed, as part of the Transcraniam Magnetic Stimulation (TMS) Imaging tes | TMS effect measure | Electrophysiological;Functional Imaging;Behavioral;Therapeutic;Other, specify | Electrophysiological;Functional Imaging;Behavioral;Therapeutic;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 14:12:16.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C15552 | Imaging stimuli duration | ImgStimuliDur | Duration of stimuli used on imaging test | Duration of stimuli used on imaging tes | Duration of stimuli | Numeric Values |
Include the units. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
millisecond | |||||||||
| C19010 | Imaging transcranial magnetic stimulation technique other text | ImgTMSTecnqOTH | The free-text field related to 'Imaging transcranial magnetic stimulation technique type' specifying other text. The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The free-text field related to 'Imaging transcranial magnetic stimulation technique type' specifying other text. The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C55792 | Imaging transcranial magnetic stimulation effect measure other text | ImagTMSEffMeasrOthrTxt | Text describing another type of effect measure, as part of the Transcranial Magnetic Stimulation (TMS) Imaging test | Text describing another type of effect measure, as part of the Transcranial Magnetic Stimulation (TMS) Imaging tes | Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 14:13:50.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C15556 | Imaging transcranial magnetic stimulation Intertrial interval duration value | ImgTMSIntertrialIntrvlDurVal | The duration of the intertrial interval used during transcranial magnetic stimulation (TMS) | The duration of the intertrial interval used during transcranial magnetic stimulation (TMS | Intertrial interval duration | Numeric Values |
Defined as the intervals between TMS sessions. Include units. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C19012 | Imaging stimulation intensity threshold other text | ImgStmltnIntnstyThrshldOTH | The free-text field related to 'Imaging stimulation intensity threshold type' specifying other text. The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The free-text field related to 'Imaging stimulation intensity threshold type' specifying other text. The type of stimulation intensity threshold used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | Other, specify | Alphanumeric |
Record % of motor threshold, % of phosphene threshold, or specify other unit. Other, specify |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C15562 | Imaging total pulse count | ImgTotalPulseCt | Total number of pulses used on imaging | Total number of pulses used on imagin | Total number of pulses | Numeric Values |
Record in pulses |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
pulse | |||||||||
| C19018 | Imaging transcranial magnetic stimulation current direction other text | ImgTMSCurntDirOTH | The free-text field related to 'Imaging transcranial magnetic stimulation current direction type' specifying other text. The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The free-text field related to 'Imaging transcranial magnetic stimulation current direction type' specifying other text. The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C15570 | Imaging transcranial magnetic stimulation current direction type | ImgTMSCurntDirTyp | The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The direction of current used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Current direction | Posterior to anterior;Anterior to posterior;Other, specify | Posterior to anterior;Anterior to posterior;Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C19021 | Stimulus waveform other text | StmlsWaveformOTH | The free-text field related to 'Stimulus waveform type' specifying other text. The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The free-text field related to 'Stimulus waveform type' specifying other text. The type of stimulus waveform used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | Other, specify | Alphanumeric |
Choose one. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| 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 test | 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.). |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:51:00.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C15573 | Imaging stimulation target type | ImgStimlTargetTyp | The type of stimulation target of the imaging test | The type of stimulation target of the imaging tes | Stimulation target | V1;V2;V3;V4;V5 | V1;V2;V3;V4;V5 | Alphanumeric |
If coordinates, report Talairach or MNI |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55774 | Imaging headache relation time type | ImagHeadacheRelTimeTyp | The type of timing of the imaging in relation to headache | The type of timing of the imaging in relation to headach | Timing of TMS in relation to headache | Inter-Ictal;Ictal;Peri-Ictal | Inter-Ictal;Ictal;Peri-Ictal | Alphanumeric |
Report the timing of the imaging in relation to the headache. The precise time windows for peri-ictal and inter-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the last and before the next attack is generally acceoted for "inter-ictal". |
Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:14:56.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C10567 | Imaging radio frequency coil type | ImgRFCoilTyp | Type of radio frequency (RF) coil(s) used for the body part scanned | Type of radio frequency (RF) coil(s) used for the body part scanned | Coil type | Figure 8;Double-cone;Circular;Other, specify | Figure 8;Double-cone;Circular;Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.10 | 2024-02-29 15:47:34.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C15581 | Coil placement method name | CoilPlacementMethdName | The name of method used to determine coil placement during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The name of method used to determine coil placement during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | Method of determining coil placement | Alphanumeric |
Example are 10-20 international EEG system, stereotactic neuronavigation |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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| C55775 | Imaging ictal pain intensity value | ImagIctPainIntensVal | The value related to the intensity of the subject's pain if the timing is ictal | The value related to the intensity of the subject's pain if the timing is ictal | If ictal, pain intensity at time of recordings | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:19:15.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
0 | 10 | ||||||||||
| C15524 | Imaging transcranial magnetic stimulation technique type | ImgTMSTecnqTyp | The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The type of TMS Imaging technique used during the test on the participant/subject, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Technique | Single-pulse TMS;Paired-pulse TMS;Repetitive TMS;Other, specify | Single-pulse TMS;Paired-pulse TMS;Repetitive TMS;Other, specify | Alphanumeric |
Choose all that apply. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C15583 | Multiple application indicator | MultipleApplctnInd | The indicator of whether the participant/subject received multiple TMS Imaging applications, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The indicator of whether the participant/subject received multiple TMS Imaging applications, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | Did participant/subject have multiple (i.e. daily or weekly applications) TMS applications? | Yes;No | Yes;No | Alphanumeric |
If Yes, please specify total amount of TMS participant/subject received. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C55776 | Imaging ictal headache since onset duration | ImagIctHeadSinceOnsetDur | The duration of time since the onset of the subject's headache if it was ictal | The duration of time since the onset of the subject's headache if it was icta | If ictal, duration of time since onset of headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:21:21.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C15526 | Imaging transcranial magnetic stimulation equipment name | ImgTMSEquipName | The name of TMS Imaging equipment used during the test on the participant/subject, specifically, manufacturer and model name, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form | The name of TMS Imaging equipment used during the test on the participant/subject, specifically, manufacturer and model name, as part of the Transcranial Magnetic Stimulation (TMS) Imaging for | TMS equipment (manufacturer and model) | Alphanumeric |
Indicate manufacturer and model name. |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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| C15586 | Total amount received value | TtlAmountRecvdVal | The value of the total amount of TMS applications the participant/subject received, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | The value of the total amount of TMS applications the participant/subject received, as part of the Transcranial Magnetic Stimulation (TMS) Imaging form. | If Yes, please specify total amount of TMS participant/subject received | Numeric Values |
Only answer if Yes if answered for "Did participant/subject have multiple TMS applications?" |
Rossi S, Hallett M, Rossini PM, et. Al. and The Safety of TMS Consensus Group. Safety, ethical considerations, and application guidelines for the use of transcranial magnetic stimulation in clinical practice and research. Clinical Neurophysiology 2009;120:2008-2039. Wasserman EM. Risk and safety of repetitive transcranial magnetic stimulation: report and suggested guidelines from the International Workshop on the Safety of Repetitive Transcranial Magnetic Stimulation, June 5-7, 1996. Electroencephalography and Clinical Neurophysiology 1998;108:1-16. | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
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| C55777 | Imaging inter peri ictal headache since end duration | ImagInterPeriIctHeadSincEndDur | The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe | The duration of time since the end of the subject's last inter-ictal or peri-ictal headah | If inter-ictal or peri-ictal, duration of time since end of last headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:23:34.0 | Transcranial Magnetic Stimulation (TMS) | Imaging Diagnostics | Assessments and Examinations |
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