CDE Detailed Report

Disease: Mitochondrial Disease
Subdomain Name: Imaging Diagnostics
CRF: Brain Magnetic Resonance Imaging (MRI)

Displaying 51 - 77 of 77
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
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 as well as the units for the measurement. Answer should be recorded in centimeters (cm)

No references available Adult;Pediatric Core 3.00 2013-07-24 11:38:01.2 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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0 100 centimeter 3181613
C12500 Imaging corpus callosum change status ImgCrpsClsmChngStat Status related to changes in the corpus callosum observed in the imaging study Status related to changes in the corpus callosum observed in the imaging study Corpus Callosum Involved;Spared Involved;Spared Alphanumeric

No instructions available

No references available Adult;Pediatric Core 4.00 2024-02-29 15:48:02.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60072 Imaging posterior limb internal capsule change status ImgPostrLmbIntrnlCpslChngStat Status related to changes in the anterior limb internal capsule observed in the imaging study Status related to changes in the anterior limb internal capsule observed in the imaging study Posterior limb internal capsule Involved;Spared Involved;Spared Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:48:04.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Core 3.00 2013-07-25 08:54:08.2 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18027 Comment text CmmntTxt Provide any additional information that pertains to the question Provide any additional information that pertains to the question Comments if needed Alphanumeric

No instructions available

No references available Adult;Pediatric Core 3.00 2013-07-16 14:01:43.01 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C60083 Imaging brain abnormal enhancement anatomic site ImgBrainAbnrmlEnhncmntAnatSite Anatomic site of abnormal enhancement found in brain imaging study Anatomic site of abnormal enhancement found in brain imaging study If Abnormal, indicate location(s) Cranial nerve enhancement;Cortex;White matter;Basal ganglia;Thalamus;Brainstem;Cerebellum Cranial nerve enhancement;Cortex;White matter;Basal ganglia;Thalamus;Brainstem;Cerebellum Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:48:18.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C12468 Imaging brain magnetic resonance imaging perform multiple count type ImgBrainMRIPerfMultiCtTyp Type of count for the number of brain magnetic resonance imaging (MRI) sessions performed on the participant Type of count for the number of brain magnetic resonance imaging (MRI) sessions performed on the participant If yes how many have been performed? 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 Core 4.00 2024-02-29 15:47:25.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60062 Imaging diffusion-weighted imaging sequence type ImgDWISeqTyp Type of sequence used for diffusion-weighted imaging (DWI) Type of sequence used for diffusion-weighted imaging (DWI) Type of diffusion sequence Single shot EPI;Multi shot EPI Single shot EPI;Multi shot EPI Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:47:47.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Core 4.00 2024-02-29 15:47:31.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C12502 Imaging anterior commissure change status ImgAntCmsrChngStat Status related to changes in the anterior limb internal capsule observed in the imaging study Status related to changes in the anterior limb internal capsule observed in the imaging study Anterior commissure Involved;Spared Involved;Spared Alphanumeric

No instructions available

No references available Adult;Pediatric Core 4.00 2024-02-29 15:48:04.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60073 Imaging diffusion-weighted imaging white matter normality status ImgDWIWMNormalityStat Status related to whether the white matter appears normal or abnormal on diffusion-weighted imaging DWI Status related to whether the white matter appears normal or abnormal on diffusion-weighted imaging DWI White matter on DWI Abnormal;Normal Abnormal;Normal Alphanumeric

If diffuse mark all

No references available Adult;Pediatric Core 1.00 2024-02-29 15:48:05.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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 radio frequency (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 Core 3.10 2024-02-29 15:47:34.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

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 Core 2.00 2022-07-01 14:55:04.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

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 MRIs performed, enter the number of the MRI performed (e.g. 1, 2 or 3)

No references available Adult;Pediatric Core 3.10 2024-02-29 15:47:26.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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1
C60063 Imaging diffusion b-value type ImgDiffusionBValTyp Type of diffusion b-value used for the imaging study Type of diffusion b-value used for the imaging study b-value B0;B1000;Other, specify B0;B1000;Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:47:48.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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;Toshiba;Other, specify GE;Siemens;Philips;Toshiba;Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Core 4.00 2024-03-18 15:21:17.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C12503 Imaging T2 fluid attenuated inversion recovery gray matter hyperintensity indicator ImgT2FLAIRGryMtrHyperInd 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 (fluid attenuated inversion recovery) images Grey matter hyperintensity on T2 FLAIR images Yes;No Yes;No Alphanumeric

No instructions available

No references available Adult;Pediatric Core 4.00 2024-02-29 15:48:09.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C60074 Imaging diffusion-weighted imaging white matter abnormality anatomic site ImgDWIWMAbnrmlyAnatSite Anatomic site of the of the white matter abnormality on diffusion-weighted imaging DWI Anatomic site of the of the white matter abnormality on diffusion-weighted imaging DWI If Abnormal, indicate location(s) and specify the DWI characteristic (facilitated/ homogeneous reduced / heterogeneous components) Frontal;Parietal;Temporal;Occipital;Superficial;Periventricular;Deep;Cerebellar;Brainstem Frontal;Parietal;Temporal;Occipital;Superficial;Periventricular;Deep;Cerebellar;Brainstem Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:48:06.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C10570 Imaging contrast agent used indicator ImgContrastAgentUsedInd Indicator of whether an imaging contrast agent was used for the scan 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 Core 3.10 2024-03-18 15:21:17.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 Core 2.00 2022-06-28 13:09:35.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C12474 Imaging field of view measurement description text ImgFOVMeasrDescTxt The free-text field to generally describe field of view (FOV) or anatomical positioning The free-text field to generally describe field of view (FOV) or anatomical positioning General description of field of view/ anatomical positioning Alphanumeric

No instructions available

No references available Adult;Pediatric Core 3.10 2024-02-29 15:47:30.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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C60064 Imaging diffusion b-value type other text ImgDiffusionBValTypOTH The free-text field related to 'Imaging diffusion b-value type', specifying other text. Type of diffusion b-value used for the imaging study The free-text field related to 'Imaging diffusion b-value type', specifying other text. Type of diffusion b-value used for the imaging study Other, specify Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:47:48.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 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;DWI;SWI;GE FLAIR;T1;T2;Other, specify;DWI;SWI;GE Alphanumeric

Choose all that apply

No references available Adult;Pediatric Core 4.00 2024-02-29 15:47:35.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C12504 Imaging T2 fluid attenuated inversion recovery gray matter hyperintensity anatomic site ImgT2FLAIRGryMtrHyperAnatSite Anatomic site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images Anatomic site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) 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;Thalamus;Cortex;Subthalamic nucleus Putamen;Caudate;Other, specify;Cerebellar nuclei;Colliculi;Floor of the fourth ventricle;Pallidum;Periaqueductal grey;Red nucleus;Substantia nigra;Mammillary body;Thalamus;Cortex;Subthalamic nucleus Alphanumeric

Only answered if Yes is answered for "Grey matter hyperintensity on T2/FLAIR images"

No references available Adult;Pediatric Core 4.00 2024-02-29 15:48:10.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C60075 Imaging diffusion-weighted imaging white matter abnormality characteristic specify text ImgDWIWMAbnrmlyChrctrcSpcfyTxt The free-text field to specify the characteristics of the white matter abnormality on diffusion-weighted imaging DWI The free-text field to specify the characteristics of the white matter abnormality on diffusion-weighted imaging DWI If Abnormal, indicate location(s) and specify the DWI characteristic (facilitated/ homogeneous reduced / heterogeneous components) Alphanumeric

No instructions available

No references available Adult;Pediatric Core 1.00 2024-02-29 15:48:07.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 255

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C10576 Imaging in plane resolution axis 1 measurement ImgInPlaneRsltnAxis1Measr Measurement of axis 1 of in-plane spatial resolution used in imaging acquisition Measurement of 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 Core 3.10 2024-02-29 15:47:41.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations

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square millimeter
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 Core 2.10 2024-03-18 15:21:17.0 Brain Magnetic Resonance Imaging (MRI) Imaging Diagnostics Assessments and Examinations 4000

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CSV