CDE Detailed Report

Disease: content
Sub-Domain: Imaging Diagnostics
CRF: welcome

Displaying 1 - 49 of 49
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
C10594 Imaging parallel acquisition used indicator ImgParallelAcquistionUsedInd Indicator of whether a parallel acquisition method is used in imaging acquisition Indicator of whether a parallel acquisition method is used in imaging acquisition Parallel acquisition used Yes;No;Unknown Yes;No;Unknown Alphanumeric

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. DTI sequence parameters.

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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

If the sequences are different for T1 and 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 Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millisecond
C02499 Imaging pulse sequence type ImgPulseSeqTyp Type of imaging pulse sequence used Type of imaging pulse sequence used Sequences used 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

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C18718 Imaging scanner strength other text ImgScannerStrgthOTH The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported The free-text field related to 'Imaging scanner strength value' specifying other text. Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

Tesla
C10576 Imaging in plane resolution axis 1 measurement ImgInPlaneRsltnAxis1Measr Axis 1 of in-plane spatial resolution used in imaging acquisition Axis 1 of in-plane spatial resolution used in imaging acquisition In-plane resolution 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. DTI sequence parameters

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

Free-Form Entry

millimeter
C10595 Imaging parallel acquisition used type ImgParallelAcquistionMethodTyp Type of the parallel acquisition method used in imaging acquisition. Type of the parallel acquisition method used in imaging acquisition. Method GRAPPA;SENSE;Other, specify Generalized Autocalibrating Partially Parallel Acquisition (GRAPPA);Sensitivity Encoding SENSE;Other, specify Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C17785 Functional MRI data processing software Additional detail text FMRIDatPrcssSftwrAddtnlDetlTxt Additional details regarding the fMRI data processing software used Additional details regarding the fMRI data processing software used Additional Details Alphanumeric No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 255

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C08236 Imaging scanner software name ImgScannerSftwrName Name of the scanner software that runs the imaging camera Name of the scanner software that runs the imaging camera Name Alphanumeric

Record the scanner software name

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

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

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. DTI sequence parameters

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C10583 Imaging base resolution value ImgBaseResolutionVal Value in points of the base resolution used in imaging acquisition as part of Diffusion Tensor Imaging (DTI). Value in points of the base resolution used in imaging acquisition as part of Diffusion Tensor Imaging (DTI). Base resolution 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. DTI sequence parameters

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

Free-Form Entry

point
C10596 Imaging slice over sampling value ImgSliceOverSampVal Value of the slice over sampling (as a percentage) used in imaging acquisition Value of the slice over sampling (as a percentage) used in imaging acquisition Slice over sampling 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 Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

percent
C17811 Imaging phase partial Fourier value ImgPhasPartialFourierVal Value of the phase partial Fourier ratio, if used in imaging acquisition Value of the phase partial Fourier ratio, if used in imaging acquisition Partial Fourier 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 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C08238 Imaging repetition gap value ImgRepetitionGapVal Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition Duration between successive pulse sequences, in milliseconds, applied to the same slice during imaging acquisition Repetition time (TR) Numeric Values

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. DTI sequence parameters

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millisecond
C18811 Functional MRI data processing software other text fMRIDatProcessingOTH The free-text field related to 'Functional MRI data processing software type'. Name of the fMRI data processing software used The free-text field related to 'Functional MRI data processing software type'. Name of the fMRI data processing software used Other, specify Alphanumeric

Choose all that apply

No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C10584 Imaging phase resolution percentage value ImgPhasResltnPercentVal The value in percent of the phase resolution used in imaging acquisition The value in percent of the phase resolution used in imaging acquisition Phase Resolution 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. DTI sequence parameters.

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

Free-Form Entry

percent
C10685 Imaging slice orientation type ImgSliceOrientTyp The slice orientation used in imaging acquisition The slice orientation used in imaging acquisition Slice orientation Axial;Coronal;Sagittal;Oblique;Transversal;Other, specify Axial;Coronal;Sagittal;Oblique;Transversal;Other, specify Alphanumeric

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. DTI sequence parameters

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

Single Pre-Defined Value Selected

C18610 Imaging in plane resolution axis 2 measurement ImgInPlaneRsltnAxis2Measr Axis 2 of in-plane spatial resolution used in imaging acquisition Axis 2 of in-plane spatial resolution used in imaging acquisition Numeric Values Adult;Pediatric Supplemental 1.00 2013-09-12 00:00:00.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millimeter
C08239 Imaging echo duration ImgEchoDur Duration between the application of the 90 degree pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition Duration between the application of the 90° pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition Echo time (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. DTI sequence parameters

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

Free-Form Entry

millisecond
C10585 Imaging phase partial Fourier indicator ImgPhasPartialFourierInd Indicator of whether phase partial Fourier was used Indicator of whether phase partial Fourier was used Partial Fourier Yes;No;Unknown Yes;No;Unknown Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10835 Imaging resting eye state status ImgRestEyeStateStatus The position of eyes at resting state during the imaging study The position of eyes at resting state during the imaging study Resting state with eyes Closed-awake;Closed-sleep;Open-fixated;Open-random Closed-awake;Closed-sleep;Open-fixated;Open-random Alphanumeric

Choose one

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18611 Imaging field of view axis 2 measurement ImgFieldViewAxis2Measr Axis 2 of the image that is visible through the camera at a particular position in orientation and space in millimeters Axis 2 of the image that is visible through the camera at a particular position in orientation and space in millimeters Numeric Values Adult;Pediatric Supplemental 1.00 2013-09-12 00:00:00.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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millimeter
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 (FA) 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 Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

degree
C10586 Imaging bandwidth value ImgBandwidthVal Value, in Hertz per pixel, of bandwidth used in imaging acquisition. Value, in Hertz per pixel, of bandwidth used in imaging acquisition. Band width 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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

Hertz per pixel
C10836 Imaging functional task type ImgFunctionTaskTyp The functional status of the participant/subject when tasks are of a certain type The functional status of the participant/subject when tasks are of a certain type Functional with tasks as Block designed;Event related Block designed;Event related Alphanumeric

Choose one

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18690 Imaging analysis software other text ImgAnlysisSftwrOTH The free-text field related to 'Imaging analysis software name' specifying other text. Name of the software used for data processing or analysis of the imaging study. The free-text field related to 'Imaging analysis software name' specifying other text. Name of the software used for data processing or analysis of the imaging study. Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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C08241 Imaging field of view axis 1 measurement ImgFieldViewAxis1Measr Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters Field of view Numeric Values

To be answered for each sequence used. Answer should be recorded as a dimension (AAxAA) in millimeters squared (mm2)

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millimeter
C10587 Imaging echo spacing value ImgEchoSpcVal Measurement, in milliseconds, of the echo spacing used in diffusion acquisition. Value, in milliseconds, of the echo spacing used in imaging acquisition as part of Diffusion Tensor Imaging (DTI). Echo spacing 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. DTI sequence parameters

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

Free-Form Entry

millisecond
C10837 Imaging gap between slices measurement ImgGapBetwnSlicesMeasr Measurement of the gap between slices used in imaging acquisition Measurement of the gap between slices used in imaging acquisition Gap between slices Numeric Values

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 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

millimeter
C18703 Imaging parallel acquisition used other text ImgParallelAcquistionMethodOTH The free-text field related to 'Imaging parallel acquisition used type' specifying other text. Type of the parallel acquisition method used in imaging acquisition. The free-text field related to 'Imaging parallel acquisition used type' specifying other text. Type of the parallel acquisition method used in imaging acquisition. Other, specify Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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C08242 Imaging acquisition duration ImgAcquisitionDur Duration of the imaging scan in minutes The duration of the imaging acquisition, in minutes Acquisition time 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. DTI sequence parameters

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

Free-Form Entry

minute
C10588 Imaging echo train length measurement ImgEchoTrainLngthMeasr Measurement of the echo train length used in imaging acquisition Measurement of the echo train length used in imaging acquisition Echo train length 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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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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 acquired during the imaging scan Number of volumes (or frames) Numeric Values

To be answered for each sequence used.

No references available Adult Supplemental 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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C18708 Imaging pulse sequence other text ImgPulseSeqOTH The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used The free-text field related to 'Imaging pulse sequence type' specifying other text. Type of imaging pulse sequence used Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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C08244 Imaging slice thickness value ImgSliceThicknessVal Value of the thickness of the slice measured in millimeters (mm) Value of the thickness of the optical slice measured in millimeters (mm) Slice Thickness Numeric Values

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. DTI sequence parameters

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

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0 99 millimeter
C10591 Imaging phase encode direction text ImgPhasEncdeDirctTxt Text description of the phase encode direction used in imaging technique acquisition Text description of the phase encode direction used in imaging technique acquisition Phase-encode direction Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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C10840 Functional MRI data processing software type fMRIDatProcessingTyp Name of the fMRI data processing software used Name of the fMRI data processing software used fMRI data processing software used SPM;AFNI;FSL;Other, specify SPM;AFNI;FSL;Other, specify Alphanumeric

Choose all that apply

No references available Adult Exploratory 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02495 Imaging scanner strength value ImgScannerStrgthVal Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Value, in Tesla (T), of the scanner's magnetic field strength used for the scan being reported Magnetic Field Strength of Scanner Used 1.5T;3.0T;4.0T;7.0T;Other, specify 1.5T;3.0T;4.0T;7.0T;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Supplemental 3.00 2013-08-28 16:08:00.453 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

Tesla
C18714 Imaging radio frequency coil channel other text ImgRFCoilChannelOTH The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan The free-text field related to 'Imaging radio frequency coil channel count' specifying other text. Number of the coil channels in the radio frequency (RF) coil used for the imaging scan Other, specify Alphanumeric

Record the number of coils for the applicable receiver coils.

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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

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. DTI sequence parameters

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C10592 Imaging flow compensation indicator ImgFlowCompnsatnInd Indicator of whether flow compensation was used in imaging acquisition Indicator of whether flow compensation was used in imaging acquisition Flow compensation used Yes;No;Unknown;Not applicable Yes;No;Unknown;Not applicable Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10842 Imaging analysis software name ImgAnlysisSftwrName Name of the software used for data processing or analysis of the imaging study. Name of the software used for data processing or analysis of the imaging study. Software used for quantitative analysis of T1-MRI Scanner provided;FSL;DtiStudio;SPM;AFNI;FreeSurfer;3D SLICER;Brain Voyager;Dipy;LC model;MRICron;TrackVis;MIPAV;Other, specify Scanner provided;FSL;DtiStudio;SPM;AFNI;FreeSurfer;3D SLICER;Brain Voyager;Dipy;LC model;MRICron;TrackVis;MIPAV;Other, specify Alphanumeric

Choose all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02496 Imaging scanner manufacturer name ImgScannerManufName Name of manufacturer of imaging scanner Imaging scanner manufacturer name Name of the scanner manufacturer Agfa;Carestream;GE;Hitachi;Hologic;Konica Minolta;Philips;Siemens;Toshiba;Other, specify Agfa;Carestream;GE;Hitachi;Hologic;Konica Minolta;Philips;Siemens;Toshiba;Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18715 Imaging radio frequency coil other text ImgRFCoilOTH The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned The free-text field related to 'Imaging radio frequency coil type' specifying other text. Type of radio frequency (RF) coil(s) used for the body part scanned Other, specify Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

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C10567 Imaging radio frequency coil type ImgRFCoilTyp Type of radio frequency (RF) coil(s) used for the body part scanned Type of RF coil(s) used for the body part scanned RF receiver coil and number of channels Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify Head coil;Neck coil;Spine array;Body coil (transmit);Double-cone;Circular;Figure 8;Other, specify Alphanumeric

Check all that apply

No references available Adult;Pediatric Supplemental 3.00 2013-07-24 11:38:01.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Multiple Pre-Defined Values Selected

C10593 Imaging fat signal suppressed indicator ImgFatSignalSuppressedInd Indicator as to whether or not fat signal was suppressed in imaging acquisition Indicator as to whether or not fat signal was suppressed in imaging acquisition Fat signal suppressed Yes;No;Unknown;Not applicable Yes;No;Unknown;Not applicable Alphanumeric

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. DTI sequence parameters

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C10843 Imaging analysis software version number ImgAnlysisSftwrVrsnNum The version number of the software used for quantitative analysis of the imaging study The version number of the software used for quantitative analysis of the imaging study Software version number Alphanumeric

Record the version number of the software

No references available Adult;Pediatric Supplemental 3.00 2013-07-22 16:57:17.79 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02498 Imaging scanner software version number ImgScannerSftwrVrsnNum Version number of the imaging scanner software Version number of the imaging scanner software Version Number Alphanumeric

No instructions available

No references available Adult;Pediatric Exploratory 3.00 2013-07-25 08:54:08.2 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C18716 Imaging scanner manufacturer other text ImgScannerManufOTH The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner Other, specify Alphanumeric

Choose one

No references available Adult;Pediatric Exploratory 1.00 2014-05-27 13:34:46.0 Functional Magnetic Resonance Imaging (fMRI) Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C10568 Imaging radio frequency coil channel count ImgRFCoilChannelCt Number of the coil channels in the radio frequency (RF) coil used for the imaging scan Number of the coil channels in the radio frequency (RF) coil used for the imaging scan RF receiver coil and number of channels 1;8;12;16;24;32;Other, specify Single coil;8 channels;12 channels;16 channels;24 channels;32 channels;Other, specify Alphanumeric

Record the number of coils for the applicable receiver coils.

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

Single Pre-Defined Value Selected

CSV