Sub-Domain: Assessments and Examinations
CRF:
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 | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
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C15600 | Imaging stimulation off period duration | ImgStimlOffPerDur | Duration of off period of the stimulation | Duration of off period of the stimulation | Duration off period | Numeric Values |
Record in minutes/seconds |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C56607 | Imaging region size measurement | ImagRegSizeMeasr | The measurement of the size of the imaging region. | The measurement of the size of the imaging region. | Region size (mm) | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:25:31.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C08241 | Imaging field of view axis 1 measurement | ImgFieldViewAxis1Measr | Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters | Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters | Field of view | Numeric Values |
Answer should be recorded as a dimension (AAxAA) in millimeters squared (mm2) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C15639 | Imaging coordinate of significant cluster text | ImgCoordSigClustrTxt | Text representing the coordinate of significant clusters | Text representing the coordinate of significant clusters | If applicable, indicate the coordinate of significant clusters | Alphanumeric |
If applicable, specify the coordinate of significant clusters. If not applicable select 'N/A' |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C10843 | Imaging analysis software version number | ImgAnlysisSftwrVrsnNum | The version number of the software used for quantitative analysis of the imaging study | The version number of the software used for quantitative analysis of the imaging study | Version | Alphanumeric |
Answer for each processing tool/package used to analyze the data. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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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 |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
Tesla | |||||||||||||||||||||||||||||
C56594 | Imaging significant cluster size text | ImagSigClustSizeTxt | Text describing the size of any significant clusters found. | Text describing the size of any significant clusters found. | If applicable, indicate the size of the significant clusters | Alphanumeric |
If not applicable, select 'N/A'. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-16 10:55:22.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15603 | Imaging randomization technique type | ImgRandTchTyp | The type of randomization technique used during stimulation | The type of randomization technique used during stimulation | Randomization technique | Randomized delivery;Non-randomized delivery | Randomized delivery;Non-randomized delivery | Alphanumeric |
Choose one. Report whether the order of the stimuli or order of on and off-periods was random or non-random. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C56608 | Imaging evoked functional scan stimulation type | ImagEvoFuncScanStimTyp | The type of stimulation used for the patient's evoked functional scan, if applicable. | The type of stimulation used for the patient's evoked functional scan, if applicable. | Type of stimulation, if applicable | Sensory;Non-painful;Painful | Sensory;Specify modality: e.g. visual/auditory/olfactory/gustatory/tactile;Specify modality: e.g. thermal, visual, chemical | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:32:17.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C08242 | Imaging acquisition duration | ImgAcquisitionDur | Duration of the imaging scan in minutes | The duration of the imaging acquisition, in minutes | Scan time duration | Numeric Values |
Record in minutes |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
minute | ||||||||||||||||||||||||||||||
C15640 | Imaging corrective analysis P-values number | ImgCorrecAnlsysPValNum | P-values used for any corrective analysis | P-values used for any corrective analysis | If applicable, indicate the p-values used for any correlative analysis | Numeric Values |
If applicable, specify the coordinate of significant clusters. If not applicable select 'N/A' |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C13965 | Imaging paradigm task design type | ImgParadigmTaskDesignTyp | Nature of stimuli presented | Nature of stimuli presented | Reconstruction method used | Block Design;Event related;Block Design;Event related | Block Design;Event related;Block Design;Event related | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2012-10-05 00:00:00.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C19019 | Imaging acquisition type other text | ImgAcquisitionTypOTH | The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition | The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C56598 | Imaging functional scan patient task type | ImagFuncScanPtTaskTyp | The type of task that the patient performed for the evoked functional scan, if applicable. | The type of task that the patient performed for the evoked functional scan, if applicable. | Type of patient task, if applicable | Motor;Cognitive;Other, specify | Motor;Cognitive;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:05:48.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C15606 | Imaging multiple evoked functional acquisitions indicator | ImgMultEvokFuncAcqInd | Multiple evoked functional acquisitions | Multiple evoked functional acquisitions | Are there multiple evoked functional acquisitions? | Yes;No | Yes;No | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C56609 | Imaging acquisition type text | ImagAcquiTypTxt | Text describing the type of acquisition used during imaging. | Text describing the type of acquisition used during imaging. | Acquisition type | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:41:20.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C08243 | Imaging matrix size value | ImgMatrixSizeVal | Value representing the imaging matrix size in millimeters | Value representing the imaging matrix size in millimeters | Matrix size | Alphanumeric |
Record in mm |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 09:34:41.527 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
millimeter | ||||||||||||||||||||||||||||||
C15642 | Imaging statistical parametric mapping contrasts text | ImgStatParMapContTxt | Define contrasts in statistical parametric mapping | Define contrasts in statistical parametric mapping | Define contrasts | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15529 | Imaging quality assurance/quality control (QA/QC) implemented techniques text | ImgQAQCImplentTxt | Free text field to describe the quality assurance techniques implemented. | Free text field to describe the quality assurance techniques implemented. | What measures of quality assurance scans were used? | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C19020 | Imaging stimulation other text | ImgStimltnOTH | The free-text field related to 'Imaging stimulation type' specifying other text. Type of stimulation | The free-text field related to 'Imaging stimulation type' specifying other text. Type of stimulation | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C56599 | Imaging functional scan patient task other text | ImagFucScanPtTaskOthrTxt | Text describing another patient task performed during the evoked functional scan, if applicable. | Text describing another patient task performed during the evoked functional scan, if applicable. | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:07:43.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15609 | Imaging rest duration | ImgRestDur | The rest duration between multiple evoked functional acquisitions | The rest duration between multiple evoked functional acquisitions | If there are multiple evoked functional acquisitions, what is the rest duration in between acquisitions? | Numeric Values |
Record in seconds. Report the duration of time between each functional acquisition. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
second | ||||||||||||||||||||||||||||||
C56610 | Imaging data denoised indicator | ImagDataDenInd | The indicator relating to whether the data was denoised during preprocessing. | The indicator relating to whether the data was denoised during preprocessing. | Was the data denoised? | No;Yes | No;Yes | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 11:15:07.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C08244 | Imaging slice thickness value | ImgSliceThicknessVal | Value of the thickness of the slice measured in millimeters (mm) | Value of the thickness of the optical slice measured in millimeters (mm) | Slice thickness (mm) | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 99 | millimeter | ||||||||||||||||||||||||||||
C15643 | Imaging statistical group analysis test text | ImgStatGrpAnalTstTxt | Statistical tests used for group analysis | Statistical tests used for group analysis | What were the statistical tests used for group analysis? | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |