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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C12493 | Imaging brainstem abnormality type | ImgBrnstmAbnrmlyTyp | The type of abnormality in the brainstem on the image | The type of abnormality in the brainstem on the image | If Abnormal specify | Hypoplasia;Anterior concavity;Posterior concavity;Other, specify | Hypoplasia;Anterior concavity;Posterior concavity;Other, specify | Alphanumeric |
Only answered if Abnormal is answered for "Brainstem" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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C18856 | Imaging ventricle abnormality other text | ImgVentrclAbnrmlyOTH | The free-text field related to 'Imaging ventricle abnormality type' specifying other text. The type of abnormality in the ventricles on the image | The free-text field related to 'Imaging ventricle abnormality type' specifying other text. The type of abnormality in the ventricles on the image | Other, specify | Alphanumeric |
Only answered if Abnormal is answered for "Ventricles" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C12468 | Imaging magnetic resonance imaging performed multiple count | ImgMRIPerfMultiCt | The count representing of the number of magnetic resonance imaging (MRI) sessions performed on the participant/subject | The count representing of the number of magnetic resonance imaging (MRI) sessions performed on the participant/subject | If yes how many have been performed? | 2;3;4;5;6;>6;2;3;4;5;6;>6 | 2;3;4;5;6;>6;2;3;4;5;6;>6 | Alphanumeric |
Answer, only if multiple brain MRI have been performed |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C12504 | Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site | ImgGryMtrHyperT2FLAIRSiteTyp | The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | The type of anatomical site of the grey matter hyperintensity on T2/FLAIR images | If yes specify | Putamen;Caudate;Other, specify;Cerebellar nuclei;Colliculi;Floor of the fourth ventricle;Pallidum;Periaqueductal grey;Red nucleus;Substantia nigra;Mammillary body;Subthalmic nucleus;Thalamus | Putamen;Caudate;Other, specify;Cerebellar nuclei;Colliculi;Floor of the fourth ventricle;Pallidum;Periaqueductal grey;Red nucleus;Substantia nigra;Mammillary body;Subthalmic nucleus;Thalamus | Alphanumeric |
Only answered if Yes is answered for "Grey matter hyperintensity on T2/FLAIR images" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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C08023 | Imaging abnormal finding text | ImgAbnrmlFindTxt | Text description of the abnormal findings on the imaging study | Text description of the abnormal findings on the imaging study | If infarct or other abnormalities, specify | Alphanumeric |
Only answered if Yes is answered for "Lesions found" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 255 |
Free-Form Entry |
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C12483 | Imaging cortex-polymicrogyria indicator | ImgCortexPolymicrogyriaInd | Indicator of whether a developmental malformation of the human brain characterized by an excessive number of small convolutions (gyri) on the surface of the brain is present | Indicator of whether a developmental malformation of the human brain characterized by an excessive number of small convolutions (gyri) on the surface of the brain is present | Cortex Polymicrogyria | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C18708 | Imaging pulse sequence other text | ImgPulseSeqOTH | The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used | The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used | Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C10570 | Imaging contrast agent used indicator | ImgContrastAgentUsedInd | Indicator as to whether or not an imaging contrast agent was used for the scan as part of Diffusion Tensor Imaging (DTI). | Indicator as to whether or not an imaging contrast agent was used for the scan. | Contrast used | Yes;No | Yes;No | Alphanumeric |
Choose one. If yes, record the name of the contrast agent and its dosage. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C12494 | Imaging pons abnormal indicator | ImgPonsAbnrmlInd | Indicator of whether the pons appears normal or abnormal in the image studies | Indicator of whether the pons appears normal or abnormal in the image studies | Pons | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C18857 | Imaging brainstem abnormality other text | ImgBrnstmAbnrmlyOTH | The free-text field related to 'Imaging brainstem abnormality type' specifying other text. The type of abnormality in the brainstem on the image | The free-text field related to 'Imaging brainstem abnormality type' specifying other text. The type of abnormality in the brainstem on the image | Other, specify | Alphanumeric |
Only answered if Abnormal is answered for "Brainstem" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C12469 | Imaging magnetic resonance imaging session number | ImgMRISessnNum | Number distinguishing the Magnetic Resonance Imaging (MRI) session from other sessions | Number distinguishing the Magnetic Resonance Imaging (MRI) session from other sessions | Brain MRI | Numeric Values |
If multiple MRI performed, enter the number or the MRI performed (e.g. 1, 2 or 3) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
1 | 3 | |||||||||||||||||||||||||||||
C12505 | Imaging eye abnormality indicator | ImgEyeAbnrmlyInd | Indicator of whether eye abnormalities are present | Indicator of whether eye abnormalities are present | Eye abnormalities | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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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 |
Answer should be recorded in milliseconds (ms) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C12484 | Imaging cortex-polymicrogyria site type | ImgCortexPolymicrogyriaSiteTyp | The type of anatomical site(s) of the cortex-polymicrogyria | The type of anatomical site(s) of the cortex-polymicrogyria | If Yes indicate locations | Temporal;Frontoparietal;Occipital | Temporal;Frontoparietal;Occipital | Alphanumeric | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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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 |
Answer for each RF coil named |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C10576 | Imaging in plane resolution axis 1 measurement | ImgInPlaneRsltnAxis1Measr | Axis 1 of in-plane spatial resolution used in imaging acquisition | Axis 1 of in-plane spatial resolution used in imaging acquisition | In plane resolution, axis 1 | Numeric Values |
To be answered for each sequence used for MRI. Answer should be recorded as a dimension (AAxAA) and in millimeters squared (mm2) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C12495 | Imaging pons abnormality type | ImgPonsAbnrmlyTyp | The type of abnormality in the pons on the image | The type of abnormality in the pons on the image | If Abnormal specify | Hypoplasia;Other, specify;Cleft | Hypoplasia;Other, specify;Cleft | Alphanumeric |
Only answered if Abnormal is answered for "Pons" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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C18858 | Imaging pons abnormality other text | ImgPonsAbnrmlyOTH | The free-text field related to 'Imaging pons abnormality type' specifying other text. The type of abnormality in the pons on the image | The free-text field related to 'Imaging pons abnormality type' specifying other text. The type of abnormality in the pons on the image | Other, specify | Alphanumeric |
Only answered if Abnormal is answered for "Pons" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C12474 | Imaging field of view measurement description text | ImgFOVMeasrDescTxt | The general description of field of view (FOV) or anatomical positioning | The general description of field of view (FOV) or anatomical positioning | General description of field of view/ anatomical positioning | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C12506 | Imaging eye abnormality type | ImgEyeAbnrmlyTyp | The type of eye abnormalities | The type of eye abnormalities | If yes specify | Optic nerve abnormalities;Microphthalmia;Cataract | Optic nerve abnormalities;Microphthalmia;Cataract | Alphanumeric |
Only answered if Yes if answered for "Eye abnormalities" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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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 ET | Numeric Values |
To be answered for each sequence used for MRI. Answer should be recorded in milliseconds (ms) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C12485 | Imaging other cortical abnormality indicator | ImgOthrCorticalAbnrmlyInd | Indicator of whether other cortical abnormalities of the brain are present | Indicator of whether other cortical abnormalities of the brain are present | Other cortical abnormality | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
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 |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C10682 | Imaging anatomic site | ImgAntmicSite | Type of body part or anatomy scanned in the imaging study | Type of body part or anatomy scanned in the imaging study | Body part scanned | Brain;Cervical spine;Thoracic spine;Lumbar spine | Brain;Cervical spine;Thoracic spine;Lumbar spine | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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C12496 | Imaging cerebellum abnormal indicator | ImgCrblmAbnrmlInd | Indicator as to whether the cerebellum appears normal or abnormal in the image studies | Indicator as to whether the cerebellum appears normal or abnormal in the image studies | Cerebellum | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C18859 | Imaging cerebellum abnormality other text | ImgCrblmAbnrmlyOTH | The free-text field related to 'Imaging cerebellum abnormality type' specifying other text. The type of abnormality in the cerebellum on the image | The free-text field related to 'Imaging cerebellum abnormality type' specifying other text. The type of abnormality in the cerebellum on the image | Other, specify | Alphanumeric |
Only answered if Abnormal is answered for "Cerebellum" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C12475 | Imaging magnetic resonance imaging T1 T2 sequence name | ImgMRIT1T2SeqName | The name of the T1 or T2 sequences used for Magnetic Resonance Imaging (MRI) | The name of the T1 or T2 sequences used for MRI | Specify sequence name of T1 or T2 used | Alphanumeric | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C14964 | Sedation used indicator | SedationUsedInd | Whether the participant/subject was administered any sedation | Whether the participant/subject was administered any sedation | Was sedation used? | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-14 19:48:50.273 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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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, axis 1 | Numeric Values |
To be answered for each sequence used for MRI. Answer should be recorded as a dimension (AAxAA) and in millimeters squared (mm2) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C12486 | Imaging other cortical abnormality type | ImgOthrCorticalAbnrmlyTyp | The type of other cortical abnormality | The type of other cortical abnormality | If yes specify | Schizencephaly;Porencephaly;Other, specify | Schizencephaly;Porencephaly;Other, specify | Alphanumeric |
Only answered if Yes is answered for "Other cortical abnormality" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
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 instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |
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C10685 | Imaging slice orientation type | ImgSliceOrientTyp | The slice orientation used in imaging acquisition | The slice orientation used in imaging acquisition | Slice Orientation | Axial;Coronal;Sagittal;Oblique | Axial;Coronal;Sagittal;Oblique | Alphanumeric |
To be answered for each sequence used for MRI |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Single Pre-Defined Value Selected |
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C12497 | Imaging cerebellum abnormality type | ImgCrblmAbnrmlyTyp | The type of abnormality in the cerebellum on the image | The type of abnormality in the cerebellum on the image | If Abnormal specify | Other, specify;Cleft;Vermal hypoplasia;Hemispheric hypoplasia;Vermal dysplasia;Hemispheric dysplasia;Cysts | Other, specify;Cleft;Vermal hypoplasia;Hemispheric hypoplasia;Vermal dysplasia;Hemispheric dysplasia;Cysts | Alphanumeric |
Only answered if Abnormal is answered for "Cerebellum" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy |
Multiple Pre-Defined Values Selected |
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C18860 | Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery other text | ImgGryMtrHyperT2FLAIRSiteOTH | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | Other, specify | Alphanumeric |
Only answered if Yes is answered for "Grey matter hyperintensity on T2/FLAIR images" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | cookie-policy | 4000 |
Free-Form Entry |