CDE Detailed Report
Disease: cookie-policy
Sub-Domain: Assessments and Examinations
CRF:

Displaying 1 - 50 of 84
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
C12476 Imaging other incidental finding indicator ImgOthrIncidentalFindInd Indicator of whether other incidental findings are found within the image studies Indicator of whether other incidental findings are found within the image studies Other incidental findings 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C17402 Site name SiteName The name of the site for the study The name of the site for the study Where Performed Alphanumeric No references available Adult;Pediatric Supplemental ? Highly Recommended 3.00 2013-06-21 00:00:00.0 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics 255

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C12487 Imaging other cortical abnormality site type ImgOthrCorticalAbnrmlySiteTyp The anatomical site(s) of the other cortical abnormality The anatomical site(s) of the other cortical abnormality If yes indicate locations Temporal;Frontoparietal;Occipital Temporal;Frontoparietal;Occipital 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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

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 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics 4000

Free-Form Entry

Tesla
C08242 Imaging acquisition duration ImgAcquisitionDur Duration of the imaging scan in minutes The duration of the imaging acquisition, in minutes Total time in scanner Numeric Values

Include all studies done within each particular session.

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 Imaging Diagnostics

Free-Form Entry

minute
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 Numeric Values

Answer should be recorded in millimeteres squared (mm) or % (for 2D acquisition)

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 Imaging Diagnostics

Free-Form Entry

millimeter
C12498 Imaging white matter T2 abnormal indicator ImgT2WWMAbnrmlInd Indicator of whether the white matter appears normal or abnormal on T2 weighted images Indicator of whether the white matter appears normal or abnormal on T2 weighted images White matter on T2 weighted images 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12477 Imaging other incidental finding type ImgOthrIncidentalFindTyp The type of other incidental findings found within the image studies The type of other incidental findings found within the image studies If Yes indicate types PVL;Other white matter intensities;Venous malformations;Vascular malformations;Other, specify PVL;Other white matter intensities;Venous malformations;Vascular malformations;Other, specify Alphanumeric

Only answered if Yes is answered for "Other incidental findings"

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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C17798 Imaging contrast agent name ImgContrastAgentName Name of imaging contrast agent used Name of imaging contrast agent used If yes name of the contrast Alphanumeric No references available Adult;Pediatric Supplemental ? Highly Recommended 3.00 2013-07-22 16:57:17.79 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics 4000

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C12488 Imaging subcortical cyst indicator ImgSubCorticalCystInd Indicator of whether subcortical cysts are found in the image studies Indicator of whether subcortical cysts are found in the image studies Subcortical cysts 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C18719 Imaging slice orientation other text ImgSliceOrientOTH The free-text field related to 'Imaging slice orientation type' specifying other text. The slice orientation used in imaging acquisition The free-text field related to 'Imaging slice orientation type' specifying other text. The slice orientation used in imaging acquisition Other, specify Alphanumeric

To be answered for each sequence used for MRI

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 Imaging Diagnostics 4000

Free-Form Entry

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 Numeric Values

Answer should be recorded in millimeteres squared (mm)

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 Imaging Diagnostics

Free-Form Entry

0 99 millimeter
C10927 Imaging inversion time ImgInversionTime The time period between the 180° inversion pulse and the 90° excitation pulse in an Inversion Recovery pulse sequence. The time period between the 180° inversion pulse and the 90° excitation pulse in an Inversion Recovery pulse sequence. Inversion Time TI Numeric Values

If the sequences are different for T1 and FLAIR sequence parameters, record the FLAIR parameters as indicated. If they are the same, leave the FLAIR parameters section blank

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 Imaging Diagnostics

Free-Form Entry

millisecond
C12499 Imaging T2 weighted white matter abnormality site type ImgT2WWMAbnrmlySiteTyp The type of anatomical site of the white matter abnormality on T2 weighted images The type of anatomical site of the white matter abnormality on T2 weighted images If Abnormal indicate locations Frontal;Parietal;Temporal;Cerebellar WM;Deep WM;Diffuse;Occipital;Periventricular Frontal;Parietal;Temporal;Cerebellar WM;Deep WM;Diffuse;Occipital;Periventricular Alphanumeric

Only answered if Abnormal is answered for "White matter on T2 weighted images"

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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C12478 Imaging cortex-pachygyria indicator ImgCortexPachygyriaInd Indicator of whether cortex-pachygyria are found within the image studies Indicator of whether cortex-pachygyria are found within the image studies Cortex Pachygria includes cobblestone lissencelphaly Yes;No Yes;No Alphanumeric

Includes cobblestons lissencephaly

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C17925 Imaging contrast agent dose ImgContrastAgentDose Dosage of the contrast agent used Dosage of the contrast agent used dosage 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 Imaging Diagnostics 4000

Free-Form Entry

C00008 Age value AgeVal Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. Age of affected Numeric Values

This is recorded for each brain MRI performed. This is a derived field from Date of Birth and Visit Date.

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 Imaging Diagnostics

Free-Form Entry

0 1800 month DeBaun Forms
C12489 Imaging subcortical cysts site type ImgSubCorticalCystSiteTyp The anatomical site(s) of the subcortical cysts The anatomical site(s) of the subcortical cysts If Yes indicate locations Temporal;Frontoparietal;Occipital Temporal;Frontoparietal;Occipital Alphanumeric

Only answered if Yes is answered for "Subcortical cysts"

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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C18720 Imaging visual analysis location performed other text ImgVisAnlysisLocPerfOTH The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed 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 Imaging Diagnostics 4000

Free-Form Entry

C08245 Imaging slice count ImgSliceCt Count representing the total number of single image planes captured during imaging acquisition Count representing the total number of single image planes captured during imaging acquisition Number of slices Numeric Values

To be answered for each sequence used for MRI.

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 Imaging Diagnostics

Free-Form Entry

C10931 Imaging quality of images technically satisfactory indicator ImgQualImgTechnSatisInd Indicator of whether the quality of the images were technically satisfactory. Indicator of whether the quality of the images were technically satisfactory. Quality of images technically satisfactory Yes;No Yes;No Alphanumeric

No instructions available

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12500 Imaging corpus callosum type indicator ImgCrpsClsmTypInd The condition of the corpus callosum fibers The condition of the corpus callosum fibers Corpus Callosum Involved;Spared Involved;Spared 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12479 Imaging cortex-pachygyria site type ImgCortexPachygyriaSiteTyp The anatomical site(s) of the cortex-pachygyria The anatomical site(s) of the cortex-pachygyria If Yes indicate locations Temporal;Frontoparietal;Occipital Temporal;Frontoparietal;Occipital Alphanumeric

Only answered if Yes is answered for "Cortex-pachygyria"

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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C17931 Imaging magnetic resonance imaging performed indicator ImgMRIPerfInd Indicator as to whether or not Magnetic Resonance Imaging (MRI) on the brain has been performed on the participant/subject Indicator as to whether or not Magnetic Resonance Imaging (MRI) on the brain has been performed on the participant/subject Has brain MRI been performed? Yes;No Yes;No Alphanumeric

Supplemental-Highly Recommended

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C01520 Head circumference measurement HeadCircumfMeasr Circumferential measurement of the head at the widest point - the distance from above the eyebrows and ears and around the back of the head Circumferential measurement of the head at the widest point - the distance from above the eyebrows and ears and around the back of the head Head circumference at time of scan Numeric Values

Record the head circumference of the participant/ subject as well as the units for the measurement. Answer should be recorded in centimeters (cm)

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 Imaging Diagnostics

Free-Form Entry

0 100 centimeter 3181613
C12490 Imaging ventricle abnormal indicator ImgVentrclAbnrmlInd Indicator of whether the ventricles appear normal or abnormal in the image studies Indicator of whether the ventricles appear normal or abnormal in the image studies Ventricles 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C18813 Imaging lesion found other text ImgLesnFoundOTH The free-text field related to 'Imaging lesion found type' specifying other text. Type of lesions found within the imaging study The free-text field related to 'Imaging lesion found type' specifying other text. Type of lesions found within the imaging study Other, 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 Imaging Diagnostics 4000

Free-Form Entry

C08254 Imaging visual analysis location performed type ImgVisAnlysisLocPerfTyp Location where visual analysis of the imaging data are performed Location where visual analysis of the imaging data are performed Read type Central;Local;Other, specify Central;Local;Other, specify Alphanumeric

No instructions available

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C10932 Imaging lesion found indicator ImgLesnFoundInd Indicator of whether lesions are found within the imaging study Indicator of whether lesions are found within the imaging study Lesions found 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12501 Imaging internal capsule type indicator ImgIntCpslTypInd The condition of the internal capsule. The condition of the internal capsule. Internal capsule Involved;Spared Involved;Spared 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12480 Imaging cortex-pachygyria thickness measurement ImgCortexPachygyriaThickMeasr The measurement of cortex thickness, in , of the cortex The measurement of cortex thickness, in , of the cortex If Yes indicate thickness of the cortex Numeric Values

Only answered if Yes is answered for "Cortex-pachygyria"

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 Imaging Diagnostics

Free-Form Entry

C18610 Imaging in plane resolution axis 2 measurement ImgInPlaneRsltnAxis2Measr Axis 2 of in-plane spatial resolution used in imaging acquisition Axis 2 of in-plane spatial resolution used in imaging acquisition In plane resolution, axis 2 Numeric Values No references available Adult;Pediatric Supplemental ? Highly Recommended 1.00 2013-09-12 00:00:00.0 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics

Free-Form Entry

millimeter
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 Magnetic field strength of scanner used: 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 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics

Single Pre-Defined Value Selected

Tesla
C12491 Imaging ventricle abnormality type ImgVentrclAbnrmlyTyp The type of abnormality in the ventricles on the image The type of abnormality in the ventricles on the image If Abnormal specify Dilation;Other, specify;Dilation;Other, specify Dilation;Other, specify;Dilation;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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C18854 Imaging other incidental finding other text ImgOthrIncidentalFindOTH The free-text field related to 'Imaging other incidental finding type' specifying other text. The type of other incidental findings found within the image studies The free-text field related to 'Imaging other incidental finding type' specifying other text. The type of other incidental findings found within the image studies Other, specify Alphanumeric

Only answered if Yes is answered for "Other incidental findings"

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 Imaging Diagnostics 4000

Free-Form Entry

C08255 Imaging visual analysis blinded indicator ImgVisAnlysisBlindInd Indicator of whether the visual analysis was performed blinded to clinical data Indicator of whether the visual analysis was performed blinded to clinical data Reader blinded to clinical data Yes;No Yes;No Alphanumeric

No instructions available

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C10933 Imaging lesion found type ImgLesnFoundTyp Type of lesions found within the imaging study Type of lesions found within the imaging study If Yes type of lesions Grey matter hyperintensity;Infarct;Malformation;Other, specify;WM hyperintensity Grey matter hyperintensity;Infarct;Malformation;Other, specify;WM hyperintensity 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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

C12502 Imaging anterior commissure type indicator ImgAntCmsrTypInd The condition of the anterior commissure The condition of the anterior commissure Anterior commissure Involved;Spared Involved;Spared 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12481 Imaging cortex lissencephaly (LIS type 1) indicator ImgCortexLISInd Indicator of whether cortex lissencephaly is found within the image studies Indicator of whether cortex lissencephaly is found within the image studies Cortex Lissencelphaly LIS type 1 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C18611 Imaging field of view axis 2 measurement ImgFieldViewAxis2Measr Axis 2 of the image that is visible through the camera at a particular position in orientation and space in millimeters Axis 2 of the image that is visible through the camera at a particular position in orientation and space in millimeters Field of view, axis 2 Numeric Values

DTI sequence parameters

No references available Adult;Pediatric Supplemental ? Highly Recommended 1.00 2013-09-12 00:00:00.0 Brain Magnetic Resonance Imaging (MRI) Assessments and Examinations Imaging Diagnostics

Free-Form Entry

millimeter
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

No instructions available

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 Imaging Diagnostics

Single Pre-Defined Value Selected

C10567 Imaging radio frequency coil type ImgRFCoilTyp Type of radio frequency (RF) coil(s) used for the body part scanned Type of RF coil(s) used for the body part scanned RF receiver coils Head coil;Neck coil;Spine array;Body coil (transmit) Head coil;Neck coil;Spine array;Body coil (transmit) Alphanumeric

Choose all that apply

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 Imaging Diagnostics 4000

Multiple Pre-Defined Values Selected

C12492 Imaging brainstem abnormal indicator ImgBrnstmAbnrmlInd Indicator of whether the brainstem appears normal or abnormal in the image studies Indicator of whether the brainstem appears normal or abnormal in the image studies Brainstem 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C18855 Imaging other cortical abnormality other text ImgOthrCorticalAbnrmlyOTH The free-text field related to 'Imaging other cortical abnormality type' specifying other text. The type of other cortical abnormality The free-text field related to 'Imaging other cortical abnormality type' specifying other text. The type of other cortical abnormality 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 Imaging Diagnostics 4000

Free-Form Entry

C12467 Imaging magnetic resonance imaging performed multiple indicator ImgMRIPerfMultiInd Indicator as to whether or not multiple magnetic resonance imaging (MRI) sessions have been performed on the participant/subject Indicator as to whether or not multiple magnetic resonance imaging (MRI) sessions have been performed on the participant/subject If yes have multiple brain MRIs been performed? Yes;No,single brain MRI Yes;No,single brain MRI Alphanumeric

Answer, only if brain MRI was 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12503 Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery indicator ImgGryMtrHyperT2FLAIRInd Indicator of whether there is grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images Indicator of whether there is grey matter hyperintensity on T2/FLAIR images Grey matter hyperintensity on T2 FLAIR images 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 Imaging Diagnostics

Single Pre-Defined Value Selected

C12482 Imaging cortex lissencephaly (LIS type 1) thickness measurement ImgCortexLISThickMeasr The measurement of cortex thickness, in , of the lissencephaly (LIS type 1) site The measurement of cortex thickness, in , of the lissencephaly (LIS type 1) site If Yes indicate thickness of the cortex Numeric Values

Only answered if Yes is answered for "Cortex Lissencephaly"

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 Imaging Diagnostics

Free-Form Entry

C18689 Imaging anatomic site other text ImgAntmicSitOTH The free-text field related to 'Imaging anatomic site' specifying other text. Type of body part or anatomy scanned in the imaging study The free-text field related to 'Imaging anatomic site' specifying other text. Type of body part or anatomy scanned in the imaging study Other, specify Alphanumeric

Choose one

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 Imaging Diagnostics 4000

Free-Form Entry

C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Sequences used FLAIR;T1;T2;Other, specify FLAIR;T1;T2;Other, specify Alphanumeric

Choose all that apply

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 Imaging Diagnostics

Multiple Pre-Defined Values Selected

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 Number of channels 1;8;12;16;24;32;Other, specify;1;8;12;16;24;32;Other, specify Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify;Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify Alphanumeric

Answer for each RF coil named

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 Imaging Diagnostics

Single Pre-Defined Value Selected

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