CDE Detailed Report

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

Displaying 1 - 18 of 18
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
C15537 Imaging study condition type ImgStdyCondTyp Type of condition the imaging study is focusing on Type of condition the imaging study is focusing on Study timing Inter-Ictal;Ictal;Peri-Ictal Inter-Ictal;Ictal;Peri-Ictal Alphanumeric

The permissible values (Inter-Ictal, Ictal, Peri-Ictal) should be clearly defined be the study investigator as the value parameters can be study specific.

No references available Adult;Pediatric Supplemental 3.00 2013-07-16 14:01:43.01 Positron Emission Tomography Localization (PET) 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

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

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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 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 2013-08-28 16:08:00.453 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

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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 references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations 4000

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C02496 Imaging scanner manufacturer name ImgScannerManufName Name of manufacturer of imaging scanner Imaging scanner manufacturer name Name of scanner manufacturer GE;Siemens;Philips;Other, specify GE;Siemens;Philips;Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 headache. Study Timing Inter-Ictal;Ictal;Peri-Ictal Inter-Ictal;Ictal;Peri-Ictal Alphanumeric

Report the timing of the study in relation to the headache. The precise time windows for peri-ictal vary with headache type. For episodic migraine, an interval of at least 72h from the last and before the next attack is generally accepted for "inter-ictal".

No references available Adult;Pediatric Supplemental 1.00 2017-05-31 12:14:56.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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;H2O15;Other, specify FDG;H2O15;Other, specify Alphanumeric

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

Single Pre-Defined Value Selected

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 No references available Adult;Pediatric Supplemental 1.00 2017-05-31 12:19:15.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

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0 10
C08261 Imaging radioligand dose value ImgRadiolgndDosVal Dose of injected radioligand for the imaging scan Dose of injected radioligand for the imaging scan specify dose Numeric Values

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

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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 ictal. If ictal, duration of time since onset of headache Numeric Values No references available Adult;Pediatric Supplemental 1.00 2017-05-31 12:21:21.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

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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;Other, specify None-routine visual analysis;Co-registered to MRI;Co-registered CT;3D stereotactic surface projection (SSP);SPM analysis;Other, specify Alphanumeric

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

Single Pre-Defined Value Selected

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 headahe. If inter-ictal or peri-ictal, duration of time since end of last headache Numeric Values No references available Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

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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

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

Single Pre-Defined Value Selected

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 headache. If inter-ictal or peri-ictal, duration of time until start of next headache Numeric Values No references available Adult;Pediatric Supplemental 1.00 2017-05-31 12:23:34.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations

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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

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

Single Pre-Defined Value Selected

C56595 Imaging PET localization processing other text ImagPETLocProcOthrTxt Text describing another type of processing performed on image produced by positron emission tomography (PET) localization. Text describing another type of processing performed on image produced by positron emission tomography (PET) localization. Other, specify Alphanumeric No references available Adult;Pediatric Supplemental 1.00 2017-06-16 10:59:36.0 Positron Emission Tomography Localization (PET) Imaging Diagnostics Assessments and Examinations 255

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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

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

Single Pre-Defined Value 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

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

Single Pre-Defined Value Selected

CSV