CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Assessments and Examinations
CRF:
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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| 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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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| 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 | Imaging Diagnostics | 255 |
Free-Form Entry |
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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 | Imaging Diagnostics |
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 | Imaging Diagnostics | 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 | Imaging Diagnostics | 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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics | 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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
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 | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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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 | Imaging Diagnostics |
Free-Form Entry |
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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 | Imaging Diagnostics |
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 | Imaging Diagnostics | 4000 |
Free-Form Entry |
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| C15598 | Imaging stimulation on period duration | ImgStimlOnPerDur | Duration on period of the stimulation | Duration on period of the stimulation | Duration on 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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| 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 |
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 | Imaging Diagnostics |
Free-Form Entry |
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| C08240 | Imaging flip angle measurement | ImgFlipAngleMeasr | Measurement of the angle, in degrees, over which the radio frequency changes proton spin angle | Measurement of the angle, in degrees, over which the radio frequency changes proton spin angle | Flip angle (FA) | 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 |
degree | ||||||||||||||||||||||||||||||
| C15638 | Imaging multiple comparisons method text | ImgMultComparMethdTxt | Type of method(s) chosen for correcting for multiple comparisons | Text description of method(s) chosen for correcting for multiple comparisons | Describe the method chosen for correcting multiple comparisons | Alphanumeric |
Describe the method chosen correcting multiple comparisons |
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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| C56606 | Region coordinate z value | RegCoordZVal | Value representing the region's z coordinate. | Value representing the region's z 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 | Imaging Diagnostics |
Free-Form Entry |
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| C10842 | Imaging analysis software name | ImgAnlysisSftwrName | Name of the software used for data processing or analysis of the imaging study. | Name of the software used for data processing or analysis of the imaging study. | What processing tool(s)/package(s) type and version was used for analyzing the data? | FSL;SPM;AFNI;Brain Voyager;IMAGEJ;FreeSurfer;SLICER;MRICron;LC model;Other, specify | FSL;SPM;AFNI;Brain Voyager;IMAGEJ;FreeSurfer;SLICER;MRICron;LC model;Other, specify | Alphanumeric |
Choose all that apply |
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 |
Multiple Pre-Defined Values Selected |
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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 additional instructions |
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 |
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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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| C55782 | Imaging scanner software hardware update text | ImagScanSoftHardUpdateTxt | Text describing any scanner software or hardware updates during the time the study was performed. | Text describing any scanner software or hardware updates during the time the study was performed. | Scanner software or hardware updates during study performance | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:43:09.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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| 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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| 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 | ||||||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||||
| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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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| 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 | ||||||||||||||||||||||||||||||
| 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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| 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 |
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0 | 99 | millimeter |