CDE Detailed Report
Disease: Mitochondrial Disease
Subdomain Name: Imaging Diagnostics
CRF: Brain Perfusion Magnetic Resonance Imaging (MRI)
Displaying 1 - 36 of 36
Subdomain Name: Imaging Diagnostics
CRF: Brain Perfusion Magnetic Resonance Imaging (MRI)
Displaying 1 - 36 of 36
| CDE ID | CDE Name | Variable Name | Definition | Short Description | 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 / Guidance) | Subdomain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C10578 | Imaging label pulse duration | ImgLablPulsDur | Duration in milliseconds of the labeling pulse in imaging acquisition for the Axial Arterial Spin Labeling (ASL) MRI sequence being reported | Duration in milliseconds of the labeling pulse in imaging acquisition for the Axial Arterial Spin Labeling (ASL) MRI sequence being reported | Labeling pulse duration | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
millisecond | |||||||||
| C60089 | Imaging post processing analysis method software leakage correction indicator | ImgPostPrcAnlMethSftLkCortnInd | Indicator of whether software-based leakage correction method was used for imaging post processing and analysis | Indicator as to whether software-based leakage correction method was used for imaging post processing and analysis | Software-based leakage correction | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:41.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C10839 | Imaging volume count | ImgVolCt | The number of volume data sets acquired during the imaging scan | The number of volume data sets a cquired during the imaging scan | Number of volumes acquired or for how long | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-02-29 15:48:36.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C60090 | Parameter map calculation other text | ParamtrMapCalcTypOTH | The free-text field related to 'Parameter map calculation type', specifying other text. Type(s) of parameter maps calculated for the perfusion MRI scan being reported | The free-text field related to "Parameter map calculation type" specifying other text. Type(s) of parameter maps calculated for the perfusion MRI scan being reported | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:43.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C15580 | Imaging acquisition type | ImgAcquisitionTyp | Type of imaging acquisition | Type of imaging acquisition | Acquisition | 3D GRASE;Spiral;EPI;Other, specify | 3D GRASE;Spiral;Echo Planar Imaging (EPI);Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60091 | Imaging arterial spin labeling scheme type | ImgASLSchemeTyp | Type of arterial spin labeling scheme used in imaging | Type of arterial spin labeling scheme used in imaging | ASL Scheme | PASL;pCASL;Other, specify | Pulsed arterial spin (PASL) labeling;Pseudo-continuous arterial spin (pCASL) labeling;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:43.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value 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 instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60092 | Imaging arterial spin labeling scheme type other text | ImgASLSchemeTypOTH | The free-text field related to 'Imaging arterial spin labeling scheme type', specifying other text. Type of Arterial spin labeling scheme used in imaging | The free-text field related to "Imaging arterial spin labeling scheme type" specifying other text. Type of Arterial spin labeling scheme used in imaging | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:44.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C20247 | Imaging scanner model name text | ImgScannerModelNameTxt | The free-text field related to name of model of imaging scanner | The free-text field related to the name of the imaging scanner | Scanner model name | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.10 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C60093 | Imaging arterial spin labeling acquisition type | ImgASLAcquisitionTyp | Type of arterial spin labeling used in imaging acquisition | Type of arterial spin labeling used in imaging acquisition | 2D or 3D acquisition | 2D;3D | 2-Dimensional;3-Dimensional | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:45.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60061 | Imaging contrast agent dose unit of measure | ImgContrastAgentDoseUOM | Unit of measure for the dose of contrast agent used for the imaging scan | Unit of measure for the dose of contrast agent used for the imaging scan | Dosage | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:47:39.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
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| C60094 | Imaging arterial spin labeling phase type | ImgASLPhaseTyp | Type of arterial spin labeling phase used in imaging | Type of arterial spin labeling phase used in imaging | Phase | Multiphase;Single phase | Multiphase;Single phase | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:47.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60084 | Imaging preload contrast agent previous injection indicator | ImgPrLdContrstAgntPrevInjInd | The indicator as to whether a preload contrast agent injection was previously performed | The indicator as to whether a preload contrast agent injection was previously performed | Previous preload contrast injection | No;Yes | No;Yes | Alphanumeric |
Choose one. If, yes please record the amount used. |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:37.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60095 | Imaging arterial spin labeling single phase type delay time | ImgASLSinglePhaseTypDelayTime | Time period in milliseconds (ms) between labeling 'inversion time' and image acquisition 'post-labeling delay' in arterial spin labeling single phase imaging acquisition | Time period in milliseconds (ms) between labeling 'inversion time' and image acquisition 'post-labeling delay' in arterial spin labeling single phase imaging acquisition | If Single phase, Inversion time/post labeling delay | Alphanumeric |
Record time in milliseconds (ms) |
Petcharunpaisan S, Ramalho J, Castillo M. Arterial spin labeling in neuroimaging. World J Radiol. 2010 Oct 28;2(10):384-98. | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:48.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 255 |
Free-Form Entry |
milliseconds | ||||||||
| C60085 | Imaging preload contrast agent previous injection dose value | ImgPrldContrastAgntPrevInjDoseVal | Value of the dosage of the preload contrast agent previously injection | Value of the dosage of the preload contrast agent previously injection | If YES - Amount: (full, half, quarter, etc.) | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:38.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C60096 | Imaging arterial spin labeling multiphase type phase count | ImgASLMultiphaseTypPhaseCt | Count of the number of arterial spin labeling phases in multiphase imaging acquisition | Count of the number of arterial spin labeling phases in multiphase imaging acquisition | If Multiphase, number of phases | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:49.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C60086 | Imaging post processing analysis type | ImgPostProcessAnalysisTyp | Type of post process analysis method used in imaging | Type of post process analysis method used in imaging | Post processing analysis | Software used;Quantitative;Software-based leakage correction | Software used;Quantitative;Software-based leakage correction | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:39.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
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| C60097 | Imaging post processing analysis method quantitative indicator | ImgPostProcAnalMethdQuantveInd | Indicator of whether quantitative method was used for imaging post processing and analysis | Indicator as to whether quantitative method was used for imaging post processing and analysis | Quantitative | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:49.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60087 | Imaging post processing analysis method software provided type | ImgPostProcAnalProvMethSoftTyp | Type of software method provided for imaging post processing and analysis | Type of software method provided for imaging post processing and analysis | Software Used | Scanner/manufacturer provided;Provided by Other, specify | Scanner/manufacturer provided;Provided by Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:40.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C60098 | Imaging crusher gradient use indicator | ImgCrushGrdntUseInd | Indicator of whether a crusher gradient was used during imaging acquisition | The indicator as to whether a crusher gradient was used during imaging acquisition | Crusher gradient used | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:51.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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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 (degrees) | Numeric Values |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
degree | |||||||||
| C60088 | Imaging post processing analysis method software provided type other text | ImgPostProcAnalMetPrvSftTypOTH | The free-text field related to 'Imaging post processing analysis method software provided type', specifying the source providing the software for imaging post processing and analysis | The free-text field related to "Imaging post processing analysis method software provided type" providedfor imaging post processing and analysis | Provided by Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 1.00 | 2024-02-29 15:48:40.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C08238 | Imaging repetition gap duration | ImgRepetitionGapDur | 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 |
If the sequences are different for T1 and T2 sequence parameters, record the T2 parameters as indicated. If they are the same, leave the T2 parameters section blank. 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 | 3.10 | 2024-02-29 15:47:45.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
millisecond | |||||||||
| 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 degree 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 |
If the sequences are different for T1 and T2 sequence parameters, record the T2 parameters as indicated. If they are the same, leave the T2 parameters section blank. 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 | 3.20 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
millisecond | |||||||||
| C10569 | Imaging perfusion method type | ImgPrfusnMethdTyp | Type of method used for acquiring perfusion magnetic resonance imaging (PMRI) data | Type of method used for acquiring perfusion magnetic resonance imaging (PMRI) data | Perfusion Imaging Method | Dynamic Susceptibility Contrast;Arterial Spin Labeling | Dynamic Susceptibility Contrast (DSC);Arterial Spin Labeling (ASL) | Alphanumeric |
Choose only one |
No references available | Adult | Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C10599 | Parameter map calculation type | ParamtrMapCalcTyp | Type(s) of parameter maps calculated for the perfusion MRI scan being reported | Type(s) of parameter maps calculated for the perfusion MRI scan being reported | Parameter maps created | Time to Peak;Relative cerebral blood volume;Relative cerebral flow;Relative mean transit time;Cerebral blood flow;Blood arrival time or similar;Time to maximum seconds;Other, specify | Time to Peak (TTP);Relative cerebral blood volume (relCBV);Relative cerebral flow (relCBF);Relative mean transit time (relMTT);Cerebral blood flow (CBF);Blood arrival time (BAT) or similar;Time to maximum (Tmax) seconds;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult | Supplemental-Highly Recommended | 4.00 | 2024-02-29 15:48:42.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C17797 | Imaging contrast agent injection rate | ImgContrastAgentInjctnRate | Rate of injection, in milliliters per second (mL/s), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan | Rate of injection, in milliliters per second (mL/s), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan | Injection rate | Numeric Values | No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.10 | 2024-02-29 15:48:33.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
milliliter per second | ||||||||||
| C17798 | Imaging contrast agent name | ImgContrastAgentName | Name of imaging contrast agent used | Name of imaging contrast agent used | Name of the IV contrast agent | Alphanumeric | No references available | Adult;Pediatric | Supplemental-Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C17925 | Imaging contrast agent dose | ImgContrastAgentDose | Dosage of the contrast agent used | Dosage of the contrast agent used | Dosage | Numeric Values | No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-02-29 15:47:39.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Free-Form Entry |
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| C02495 | Imaging scanner strength value type | ImgScannerStrgthValTyp | Type of value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported | Type of 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;7.0T;Other, specify | 1.5T;3.0T;7.0T;Other, specify | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-02-29 15:47:31.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18708 | Imaging pulse sequence type other text | ImgPulseSeqTypOTH | 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 | 2.00 | 2022-07-01 14:55:04.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C02496 | Imaging scanner manufacturer name | ImgScannerManufName | Name of manufacturer of imaging scanner | Name of manufacturer of imaging scanner | Name of the scanner manufacturer | GE;Siemens;Philips;Other, specify;Canon | GE;Siemens;Philips;Other, specify;Canon | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Single Pre-Defined Value Selected |
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| C18716 | Imaging scanner manufacturer name other text | ImgScannerManufNameOTH | 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 | 2.00 | 2022-06-28 13:09:35.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C02498 | Imaging scanner software version number text | ImgScannerSftwrVrsnNumTxt | Free-text field specifying the version number of the imaging scanner software | Free-text field specifying the version number of the imaging scanner software | Name of the scanner software and its version number | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C18718 | Imaging scanner strength value type other text | ImgScannerStrgthValTypOTH | The free-text field related to 'Imaging scanner strength value type', specifying other text. Type of 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 type', specifying other text. Type of 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 | 2.10 | 2024-03-18 15:21:17.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations | 4000 |
Free-Form Entry |
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| C02499 | Imaging pulse sequence type | ImgPulseSeqTyp | Type of imaging pulse sequence used | Type of imaging pulse sequence used | Sequence | Gradient-echo;Spin echo;Other, specify | Gradient-echo;Spin echo;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental-Highly Recommended | 4.00 | 2024-02-29 15:47:35.0 | Brain Perfusion Magnetic Resonance Imaging (MRI) | Imaging Diagnostics | Assessments and Examinations |
Multiple Pre-Defined Values Selected |
