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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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 | Magnet Strength | 1.5T;3.0T;4.0T;7.0T;Other, specify;1.5T;3.0T;4.0T;7.0T;Other, specify | 1.5T;3.0T;4.0T;7.0T;Other, specify;1.5T;3.0T;4.0T;7.0T;Other, specify | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
Tesla | ||||||||||||||||||||||||||||
C15626 | Imaging nonstimulation eye assessment indicator | ImgNonstimEyeAssmtInd | Participant's/subject's eyes status | Participant's/subject's eyes indicator | Were the participant's/subject's eyes open or closed | Eyes Open;Eyes Closed;Eyes Open;Eyes Closed | Eyes Open;Eyes Closed;Eyes Open;Eyes Closed | 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 | cookie-policy |
Single Pre-Defined Value Selected |
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C10568 | Imaging radio frequency coil channel count | ImgRFCoilChannelCt | Number of the coil channels in the radio frequency (RF) coil used for the imaging scan | Number of the coil channels in the radio frequency (RF) coil used for the imaging scan | Coil | 1;8;16;32;Other, specify | Single coil;8 channels;16 channels;32 channels;Other, specify | Alphanumeric |
Record the number of coils for the applicable receiver coils. |
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 | cookie-policy |
Single Pre-Defined Value Selected |
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C18014 | Imaging analysis assumptions text | ImgAnlysisAssmpTxt | Description of the assumptions and settings for the first-level time series analysis | Description of the assumptions and settings for the first-level time series analysis | Describe the details of the asssumptions/settings for first-level time series analysis | Alphanumeric | No references available | Adult | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy | 255 |
Free-Form Entry |
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C15588 | Imaging stimulation device make text | ImgStimlDevMakeText | Make of device make used for stimulation | Type of device make used for stimulation | Make | 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 | cookie-policy | 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 and intensity at time of recordings | Numeric Values | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:19:15.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
0 | 10 | ||||||||||||||||||||||||||||||
C56603 | Imaging analysis approach other text | ImagAnalysisAppOthrTxt | Text describing another analysis approach that was made for the imaging. | Text describing another analysis approach that was made for the imaging. | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:21:58.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy | 255 |
Free-Form Entry |
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C02496 | Imaging scanner manufacturer name | ImgScannerManufName | Name of manufacturer of imaging scanner | Imaging scanner manufacturer name | Name of the scanner manufacturer | GE;Siemens;Philips;Toshiba;Other, specify | GE;Siemens;Philips;Toshiba;Other, specify | Alphanumeric |
Choose one |
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 | cookie-policy |
Single Pre-Defined Value Selected |
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C15635 | Imaging skull stripping performed indicator | ImgSklStrpPerfInd | Skull stripping performed for anatomical and functional images | Skull stripping performed for anatomical and functional images | Was skull stripping performed for anatomical and functional images? | 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 | cookie-policy |
Single Pre-Defined Value Selected |
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C10577 | Imaging signal averages number | ImgSignalAvgNum | Number of signal acquisitions averaged in imaging acquisition | Number of signal acquisitions averaged | Number of averages | Numeric Values |
No additional instructions |
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 | cookie-policy |
Free-Form Entry |
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C18018 | Imaging rationale threshold results text | ImgRatThreshResltTxt | Rationale for thresholds | Rationale for thresholds | Describe the rationale for choosing the thresholds for thresholding the results | Alphanumeric | No references available | Adult | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy | 255 |
Free-Form Entry |
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C15592 | Imaging stimulation device model text | ImgStimlDevModelText | Model of device used for stimulation | Model of device used for stimulation | Model | 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 | cookie-policy | 255 |
Free-Form Entry |
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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 |
Include units |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:21:21.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
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C56604 | Region coordinate x value | RegCoordXVal | Value representing the region's x coordinate. | Value representing the region's x coordinate. | Region coordinates | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:22:54.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
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C08238 | Imaging repetition gap value | ImgRepetitionGapVal | Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition | Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition | Repetition time (TR) | Numeric Values |
Record in ms |
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 | cookie-policy |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C15636 | Imaging comparison P-values number | ImgComparPValNum | P-values used for comparisons between cohorts or the group averages | P-values used for comparisons between cohorts or the group averages | Indicate the p-values used for comparisons between cohorts or the group averages | Numeric Values |
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 | cookie-policy |
Free-Form Entry |
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C10837 | Imaging gap between slices measurement | ImgGapBetwnSlicesMeasr | Measurement of the gap between slices used in imaging acquisition | Measurement of the gap between slices used in imaging acquisition | Gap between slices (mm or %) | 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 | cookie-policy |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
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 |
Choose all that apply |
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 | cookie-policy | 4000 |
Free-Form Entry |
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C15595 | Imaging stimulation device model year date | ImgStimlDevModelYrDate | Model year of device used for stimulation | Model year of device used for stimulation | Year | Date or Date & Time |
Record Year in YYY Y format |
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 | cookie-policy |
Free-Form Entry |
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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 headahe. | If inter-ictal or peri-ictal, duration of time since end of last headache | Numeric Values |
Include units |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:23:34.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
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C56605 | Region coordinate y value | RegCoordYVal | Value representing the region's y coordinate. | Value representing the region's y coordinate. | Region coordinates | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:22:54.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
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C08239 | Imaging echo duration | ImgEchoDur | Duration between the application of the 90 degree pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition | Duration between the application of the 90° pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition | Echo time (TE) | Numeric Values |
Record in ms |
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 | cookie-policy |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C15637 | Imaging preprocessing method performed type | ImgPrepMethdPerfTyp | Imaging preprocessing method(s) performed | Imaging preprocessing method(s) performed | Were any of the following performed? | Smoothing;Upsampling/downsampling | Smoothing;Upsampling/downsampling | 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 | cookie-policy |
Single Pre-Defined Value Selected |
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C10838 | Imaging voxel size axis 1 measurement | ImgVoxelSizeAxis1Measr | Measurement, in millimeters, of the axis 1 dimension of the voxel within the anatomy of interest | Measurement, in millimeters, of the axis 1 dimension of the voxel within the anatomy of interest | Voxel size | Numeric Values |
Record in mm |
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 | cookie-policy |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C18714 | Imaging radio frequency coil channel other text | ImgRFCoilChannelOTH | The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan | The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan | Other, specify | Alphanumeric |
Record the number of coils for the applicable receiver coils. |
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 | cookie-policy | 4000 |
Free-Form Entry |