CDE Detailed Report

Disease: Unruptured Cerebral Aneurysms and Subarachnoid Hemorrhage
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CRF: Imaging

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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 External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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 name of model of imaging scanner. Imaging scanner model name Alphanumeric

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Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 1.00 2015-02-12 09:34:42.0 Imaging [php] [php_1] 4000

Free-Form Entry

C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Imaging sequence (choose all that apply) T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;rFOV;EPI T1;T2;FLAIR;DWI;GRE;SWI;DTI;MRSI;PWI;Gradient-echo;Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Post-contrast FLAIR;Post-contrast T1-weighted;COW MRA;TOF Neck MRA;CE MRA;Other, specify;FLASH;MPRAGE;SPGR;SPACE/VISTA;TSE/FSE;Dual echo PD/T2W SE;PD SE;T2W SE;T1W SE;T1W 3D gradient-echo;T1-weighted spin echo with contrast;T1-weighted spin echo without contrast;PD/T2W FSE;DIR;PSIR;fMRI;PRESS;Spectroscopic imaging 2D;Spectroscopic imaging 3D;Spin echo;STEAM;Single voxel spectroscopy (SVS);Pulsed-ASL;Continuous-ASL;Pseudocontinuous-ASL;Multivoxel spectroscopy;Unlocalized spectroscopy;ISIS;DWI/ADC;Reduced field of view (rFOV);Echo Planar Imaging (EPI) Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02430 Extraaxial hematoma status ExtrAxlHematmStat Status of a collection of blood between the brain surface and the skull, but for which the exact site cannot be determined with certainty, and is not already classified as a more specific entity elsewhere in the data set. Status of a collection of blood between the brain surface and the skull, but for which the exact site cannot be determined with certainty, and is not already classified as a more specific entity elsewhere in the data set. Extraaxial hematoma (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02465 Skull fracture morphology findings type SkullFractMorphFindTyp Findings related to morphology of the skull fracture. Findings related to morphology of the skull fracture. Skull fracture morphology findings type Depressed;Ping pong fracture;Diastatic;Compound;Penetrating;Probable fracture;Pneumocephalus;Other craniofacial fractures;Linear;Comminuted >1 cm or full thickness of skull;smooth depression typically seen in infants and toddlers, without a complete bony cortical disruption;Separated more than 3 mm, or separation of a suture;Communication with the skin, mastoid air cells, or paranasal sinuses;Resulting from an indriven foreign body, such as knife or missile;One in which fracture itself cannot be seen definitively, but is suspected to be present based on other findings such as adjacent subgaleal and extra-axial hemorrhage, intracranial air, or other findings;Pneumocephalus - Present;For children <3 years, of interest for relevance for inflicted injuries;Includes simple and branched;Involving at least one separate non-contiguous bone segment Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02407 Cervicomedullary junction or brainstem injury severity status CervimedJunctBrnstmInjStat Status of injuries typically occurring in the setting of crush or distraction forces which cause disruption in the brainstem and/or cervicomedullary junction. Status of injuries typically occurring in the setting of crush or distraction forces which cause disruption in the brainstem and/or cervicomedullary junction. Cervicomedullary junction or brainstem injury Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. If answered #30 "Indeterminate," or "Absent," skip to question 32.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value 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.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Imaging [php] [php_1] 4000

Free-Form Entry

Tesla
C02442 Intracerebral hemorrhage entire lesion volume measurement IntracrbrlHemrrhgEntLesnVolMsr Measured volume of entire intracerebral hemorrhage including surrounding signal abnormalities. Measured volume of entire intracerebral hemorrhage including surrounding signal abnormalities. Intracerebral hemorrhage entire lesion volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02477 Subdural hematoma subacute chronic anatomic site SDHSubAcuteChrncAntmicSite Anatomic site of the subacute or chronic subdural hematoma (SDH). Anatomic site of the subacute or chronic subdural hematoma (SDH). Subdural hematoma subacute or chronic anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02420 Traumatic axonal injury status TraumatcAxonalInjStat Status of multiple, scattered, small hemorrhagic and/or non-hemorrhagic lesions in a more confined white matter distribution. For purposes of this database, TAI includes 1-3 foci of signal abnormality. Status of multiple, scattered, small hemorrhagic and/or non-hemorrhagic lesions in a more confined white matter distribution. For purposes of this database, TAI includes 1-3 foci of signal abnormality. Traumatic axonal injury status Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. These terms are defined differently in the clinical, radiologic, and pathologic arenas, and have evolved in the radiologic sphere concurrent with advances in detection, particularly using MRI. The term DAI was initially coined to describe the pathologic findings in primates subjected to experimental, high magnitude, non-impact angular deceleration ("inertial") forces, which resulted in prolonged unconsciousness and widespread injury to axons in the hemispheric white matter and brainstem 17. The injury was modeled to explain prolonged coma in human patients with high-energy injury mechanisms and prolonged unconsciousness with minimal CT findings, but widespread axonal damage in a similar distribution to that seen in animal models on histopathology 18. As CT spatial resolution improved and specialized MR sequences evolved, lesions similar to those described in autopsy studies have been identified in patients with clinically less severe injuries, in whom the length of unconsciousness is shorter and the outcome better than those for whom the term was originally employed. Currently, there exists a spectrum of animal models of inertial white matter injuries which do not necessarily follow the specific anatomic distribution of the original descriptions. Similarly, radiologic techniques demonstrate lesions in more limited distributions in human patients. Therefore, many authors use the term "traumatic axonal injury" to refer to more limited axonal injury which appears to result from traumatic inertial forces and tissue strains in the white matter. While these injuries occur in a continuum, for purposes of classification they are operationally defined as described below.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02454 Midline shift supratentorial measurement MidlneShftSuprtentorialMeasr Measured amount of midline shift in mm. Shift is measured at the foramen of Monro, or alternatively, where it is greatest. Measured amount of midline shift in mm. Shift is measured at the foramen of Monro, or alternatively, where it is greatest. Midline shift supratentorial measurement Numeric Values

No instructions available

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02488 Vascular dissection extent type VasclrDisctExtentTyp Extent of the vascular dissection. Extent of the vascular dissection. Vascular dissection extent type Luminal narrowing greather than 50% (including "string sign");Vessel occlusion;Luminal narrowing less than 50% Luminal narrowing greather than 50% (including "string sign");Vessel occlusion;Luminal narrowing less than 50% Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02500 Imaging brain assessment result ImgBrainAssessmtReslt Result of the global assessment of brain imaging Result of the global assessment of brain imaging Brain imaging result (choose one) Abnormal;Normal;Not assessed;Unknown Abnormal;Normal;Not assessed;Unknown Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Core 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02431 Extraaxial hematoma anatomic site ExtrAxlHematmAntmicSite Anatomic site of the extraaxial hematoma. Anatomic site of the extraaxial hematoma. Etraaxial hematoma anatomic site Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric supratentorial - Anterior (frontoparietal);Interhemispheric supratentorial - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric supratentorial - Anterior (frontoparietal);Interhemispheric supratentorial - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Frontal - R Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02467 Subarachnoid hemorrhage findings type SAHFindTyp Further describes the subarachnoid hemorrhage (SAH) as linear vs. mass-like and acute hydrocephalous present. Further describes the subarachnoid hemorrhage (SAH) as linear vs. mass-like and acute hydrocephalous present. Subarachnoid hemmorhage findings type Linear;Mass-like (>3mm thickness, splaying of Sylvian fissure or other cistern);Acute hydrocephalus Linear;Mass-like (>3mm thickness, splaying of Sylvian fissure or other cistern);Acute hydrocephalus Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02408 Cervicomedullary junction or brainstem injury anatomic site CervimedyJunctBrnstmInjAnatSit Anatomic site of the cervicomedullary junction/ brainstem injury. Anatomic site of the cervicomedullary junction/ brainstem injury. Cervicomedullary junction or brainstem injury anatomic site Midbrain;Pons;Medulla;Cervical Midbrain;Pons;Medulla;Cervical Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02443 Intracerebral hemorrhage hemorrhagic component volume measurement IntracrbrlHmrrhgHmrrCompVolMsr Measured volume in cubic centimeters of the hemorrhagic component of the intracerebral hemorrhage (calculated from length, width, maximal thickness) . Measured volume in cubic centimeters of the hemorrhagic component of the intracerebral hemorrhage (calculated from length, width, maximal thickness) . Intracerebral hemorrhage hemorrhagic component volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02478 Subdural hematoma subacute chronic volume measurement SubdurlHematSubactChronVolMsr Measured volume in cubic centimeters of the subacute or chronic subdural hematoma (SDH) (calculated from length, width, maximal thickness). Measured volume in cubic centimeters of the subacute or chronic subdural hematoma (SDH) (calculated from length, width, maximal thickness). Subdural hematoma subacute chronic volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02421 Diffuse axonal injury status DiffseAxonlInjStat Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Status of a widespread distribution of lesions, including the subcortical white matter in more than one lobe or hemisphere, along with lesions in the corpus callosum, and may include the dorsomedial midbrain and other brainstem and cerebellar regions Diffuse axonal injury (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. If answered #26 "Indeterminate," or "Absent," skip to question 28.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02455 Midline shift supratentorial indicator MidlneShftSuprtentorialInd Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling. Displacement of the supratentorial midline structures, particularly the septum pellucidum, 2 mm or more due to mass effect of a focal traumatic lesion or brain swelling. Midline shift supratentorial (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02489 Vascular dissection status VasclrDisctStat Status of an incomplete disruption of one or more inner layers of an artery, which may be traumatic or spontaneous. Status of an incomplete disruption of one or more inner layers of an artery, which may be traumatic or spontaneous. Vascular dissection (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02501 Vascular dissection site type VasclrDisctSiteTyp Site of the vascular dissection. Site of the vascular dissection. Vascular dissection site type Intracranial;Cervical Intracranial;Cervical Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02432 Extraaxial hematoma volume measurement ExtrAxlHematmVolMeasr Measured volume in cubic centimeters of the extraaxial hematoma (calculated from length, width, maximal thickness). Measured volume in cubic centimeters of the extraaxial hematoma (calculated from length, width, maximal thickness). Extraaxial hematoma volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02468 Subarachnoid hemorrhage extent type SAHExtentTyp Type of distribution of the subarachnoid hemorrhage (SAH). Type of distribution of the subarachnoid hemorrhage (SAH). Subarachnoid hemorrhage extent type Diffuse;Focal Involving more than two contiguous lobes or brain regions, supra- and infratentorial compartments, or multiple basal cisterns;In 1-2 locations or lobes of the brain Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02409 Cisternal compression type CistCompressTyp Type of cisternal compression. Type of cisternal compression. Cisternal compression type Visible but compressed - Asymmetric;Visible but compressed - Symmetric;Mixed;Obliterated Visible but compressed - Symmetric;Mixed (some cisterns open, others compressed/obliterated);Obliterated (all cisterns);Visible but compressed - Asymmetric Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02444 Intraventricular hemorrhage ventriculomegaly status IntravntrcHmrrghVntrclmglyStat Status of ventriculomegaly (acute hydrocephalus) Status of ventriculomegaly (acute hydrocephalus) Intraventricular hemorrhage ventriculomegaly status Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02479 Subdural hematoma mixed density or CSF-like collection findings type SDHMxDenstyCSFCollctFindTyp Characteristics of the subdural hematoma/mixed density subdural collection. Characteristics of the subdural hematoma/mixed density subdural collection. Subdural hematoma mixed density or CSF - like collection findings type Hyperintense/dense;Isointense/dense;Hypointense/dense Hyperintense/dense;Isointense/dense;Hypointense/dense Alphanumeric

Choose all that apply

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02422 Brain edema finding type EdemaFindTyp Further describes the brain edema. Further describes the brain edema. Brain edema finding type Cytotoxic;Vasogenic;Interstitial;Osmotic;Indeterminate Cytotoxic;Vasogenic;Interstitial;Osmotic;Indeterminate Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02456 Midline shift supratentorial displacement type MidlineShiftSupratentDisplTyp Side of the midline shift. Side of the midline shift. Midline shift supratentorial displacemnt type Right-to-left;Left-to-right Right-to-left;Left-to-right Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02490 Vascular dissection anatomic site VasclrDisctAntmicSite Anatomic site of the vascular dissection. Anatomic site of the vascular dissection. Vacular dissection anatomic site Carotid - R;Carotid - L;Vertebral - R;Vertebral - L;Other - R;Other - L;Cervical - R;Cervical - L;Intracranial - R;Intracranial - L Carotid - R;Carotid - L;Vertebral - R;Vertebral - L;Other - R;Other - L;Cervical - R;Cervical - L;Intracranial - R;Intracranial - L Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02502 Intraventricular hemorrhage pattern type IntraventricHmrrhgPattrnTyp Type of pattern of intraventricular hemorrhage associated findings Type of pattern of intraventricular hemorrhage associated findings Intraventricular hemorrhage pattern type Obstructive;Non-obstructive Obstructive;Non-obstructive Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02433 Ventricle - fourth shift effacement measurement Ventric4thShiftEffaceMeasr Measured amount of fourth ventricle shift/effacement in mm (maximal distance from expected location in any direction). Measured amount of fourth ventricle shift/effacement in mm (maximal distance from expected location in any direction). Ventricle - fourth shift effacement measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02469 Subarachnoid hemorrhage indicator SAHStatus Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging. Indicator of macroscopic blood located between the brain surface and the arachnoid membrane. On CT and MR, the blood in this location will follow the contour of the sulci and cisterns. Acute SAH is hyperdense on CT and hyperintense on FLAIR MR imaging. Subarachnoid hemorrhage Present;Absent;Indeterminate Present;Absent;Indeterminate Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02410 Cisternal compression status CstrnlCompressStat Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma. Status of asymmetry or obliteration of the normal configuration of the perimesencephalic, suprasellar, prepontine, or superior cerebellar cistern, and/or cisterna magna due to mass effect and/or brain swelling in the setting of trauma. Cisternal compression Present;Indeterminate;Absent Cisternal compression is present in at least one location;;Cisterns normal Alphanumeric

Choose one. If answered #12 "Indeterminate," or "Absent," skip to question 14. For children under age 3, cisternal appearance may be variable.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02445 Intraventricular hemorrhage volume measurement IVHVolMeasr Measured volume in cubic centimeters of intraventricular hemorrhage Measured volume in cubic centimeters of intraventricular hemorrhage Intraventricular hemorrhage volume measurement Numeric Values

No instructions available

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-19 21:30:46.813 Imaging [php] [php_1]

Free-Form Entry

cubic centimeter
C02480 Subdural hematoma mixed density CSF-like collection indicator SDHMxDensCSFCollctInd Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate. Indicator of a collection of inhomogeneous blood products between the arachnoid and the dura, typically (though not always) with a crescent shape, in which timing (e.g., acute vs. chronic or subacute) is indeterminate. Subdural hematoma- mixed density or CSF-like collection (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. See also section on Atrophic Changes.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02491 Venous sinus injury status VenousSinusInjStat Status of compression (>50%), occlusion, or laceration of a dural venous sinus due to trauma. Status of compression (>50%), occlusion, or laceration of a dural venous sinus due to trauma. Venous sinus injury Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02423 Brain edema extent type EdemaExtentTyp Extent of the brain edema. Extent of the brain edema. Brain edema extent type Focal;Lobar;Multilobar;Hemispheric;Bihemispheric;Posterior fossa;Global Involves less than half of one lobe;Involves more than half of one lobe;Involves multiple lobes;Involves an entire supratentorial hemisphere;Involves both hemispheres;Involves the cerebellum and/or brainstem;Involves the entire brain Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02457 Penetrating injury brain associate finding type PenetratngInjBrainAssocFindTyp Findings related to penetrating injury. Findings related to penetrating injury. Penetrating injury associated findings (choose all that apply) Through and through trajectory (entrance and exit sites);Transventricular trajectory;Crosses midline;Indriven fragments (bone, foreign bodies) Through and through trajectory (entrance and exit sites);Transventricular trajectory;Crosses midline;Indriven fragments (bone, foreign bodies) Alphanumeric

Choose all that apply.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02503 Diffuse axonal injury traumatic axonal injury lesion count DAITAILesnNum Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI). Number of diffuse axonal injuries (DAI) or traumatic axonal injuries (TAI). Diffuse axonal injury and traumatic axonal injury lesions number Numeric Values

No instructions available DAI and TAI lesions may be hemorrhagic and are thus often identified with GRE/SW-imaging. Newer MR studies, such as diffusion tensor imaging (DTI), are able to demonstrate white matter fiber tract injury even when the standard MRI is negative. Both DAI and TAI injuries may also be found along with a wide variety other traumatic entities such as SDH, EDH, and contusions, because of the large heterogeneous forces involved in causing these lesions.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02434 Ventricle - fourth shift effacement displacement type Ventric4thShiftEffaceDisplTyp Displacement direction of fourth ventricle shift/effacement. Displacement direction of fourth ventricle shift/effacement. Ventricle - fourth shift effacement displacement type Right-to-left;Left-to-right;Anterior;Posterior Right-to-left;Left-to-right;Anterior;Posterior Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02470 Subarachnoid hemorrhage anatomic site SubarachndHemorrhgAntmicSite Anatomic site of the subarachnoid hemorrhage (SAH). Anatomic site of the subarachnoid hemorrhage (SAH). Subarachnoid hemorrhage anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Suprasellar Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L;Perimesencephalic Alphanumeric

Choose all that apply. List each lesion as a separate entry. Patients with suprasellar finding may have increased risk of diabetes insipidus.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02400 Brain volumetric analysis measurement BrainVolumetrcAnlysMeasr Measured brain volume in cubic centimeters Measured brain volume in cubic centimeters Brain volumetric analysis measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

cubic centimeter
C02411 Laterality type LatTyp Laterality type relative to the anatomic site of the body examined or affected Laterality type relative to the anatomic site of the body examined or affected Cisternal compression laterality type Bilateral;Left;Right;Unknown;Midline Bilateral;Left;Right;Unknown;Midline Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02446 Intraventricular hemorrhage status IVHStatus Indicator of acute-appearing blood within the ventricles. Indicator of acute-appearing blood within the ventricles. Intraventricular hemorrhage Present;Absent;Indeterminate Present;Absent;Indeterminate Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02481 Subdural hematoma mixed density or CSF-like collection anatomic site SDHMxDenstyCSFCollctAntmicSite Anatomic site of the subdural hematoma mixed density subdural or CSF-like collection. Anatomic site of the subdural hematoma mixed density subdural or CSF-like collection. Subdural hematoma mixed density or CSF-like collection anatomic site Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Interhemispheric - Anterior (frontoparietal);Interhemispheric - Posterior (occip);Tentorial - R;Tentorial - L;Posterior fossa - R;Posterior fossa - L Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02492 Venous sinus injury anatomic site VenousSinusInjryAntmicSite Anatomic site of the venous sinus injury. Anatomic site of the venous sinus injury. Venous sinus injury anatomic site Sagittal sinus - Posterior (occipital);Transverse sinus - R;Transverse sinus - L;Sigmoid sinus - R;Sigmoid sinus - L;Sagittal sinus - Anterior (frontoparietal) Sagittal sinus - Posterior (occipital);Transverse sinus - R;Transverse sinus - L;Sigmoid sinus - R;Sigmoid sinus - L;Sagittal sinus - Anterior (frontoparietal) Alphanumeric

Choose all that apply. List each lesion as a separate entry.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Multiple Pre-Defined Values Selected

C02424 Brain edema status EdemaStat Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain. Status of an abnormal accumulation of water in the intracellular and/or extracellular spaces of the brain. Edema (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. Because of changes in myelination during development, care must be taken to interpret density/intensity in young children against age-matched norms for CT and MRI.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02458 Penetrating injury deepest extent penetrated brain anatomic site PenetrateInjDeepExtntAntSite Anatomic site of the deepest layer of the head penetrated by the injury. Anatomic site of the deepest layer of the head penetrated by the injury. Penetrating injuries deepest extenet penetrated anatomic site Scalp;Skull;Dura;Parenchyma Scalp;Skull;Dura;Parenchyma Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

C02504 Brain edema volume measurement EdemaVolMeasr Measured volume in cubic centimeters of the brain edema Measured volume in cubic centimeters of the brain edema Brain edema volume measurement Numeric Values Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Free-Form Entry

C02435 Ventricle - fourth shift effacement status FourVentShftEffcmntStat Status of displacement or effacement of the fourth ventricle 2 mm or more due to adjacent mass lesions or brain swelling. Status of displacement or effacement of the fourth ventricle 2 mm or more due to adjacent mass lesions or brain swelling. Fourth ventricle shift or effacement (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one.

Duhaime AC, Gean AD, Haacke EM, Hicks R, Wintermark M, Mukherjee P, Brody D, Latour L, Riedy G; Common Data Elements Neuroimaging Working Group Members, Pediatric Working Group Members. Common data elements in radiologic imaging of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1661-6. [DOI: 10.1016/j.apmr.2010.07.238] Haacke, E.M., Duhaime, A.C., Gean, A.D., Riedy, G., Wintermark, M., Mukherjee, P., Brody, D.L., DeGraba, T., Duncan, T.D., and Elovic, E. (2010). Common data elements in radiologic imaging of traumatic brain injury. Journal of Magnetic Resonance Imaging 32, 516-543, DOI:10.1002/jmri.22259 Adult;Pediatric Supplemental 3.00 2013-07-20 10:21:25.65 Imaging [php] [php_1]

Single Pre-Defined Value Selected

CSV