CDE Detailed Report

Disease: Traumatic Brain Injury
Subdomain Name: Imaging Diagnostics
CRF: Imaging

Displaying 1 - 50 of 105
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guidance) Subdomain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C20247 Imaging scanner model name text ImgScannerModelNameTxt The free-text field related to name of model of imaging scanner The free-text field related to the name of the imaging scanner Imaging scanner model name Alphanumeric

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 1.10 2024-03-18 15:21:17.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

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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 3.10 2022-09-08 09:14:53.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02422 Brain edema finding type EdemaFindTyp Further describes the brain edema Further describes the brain edema 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 3.10 2022-09-08 09:15:26.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02456 Midline shift supratentorial displacement type MidlineShiftSupratentDisplTyp Side of the midline shift Side of the midline shift 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 3.10 2022-09-08 09:17:35.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02502 Intraventricular hemorrhage pattern type IntraventricHmrrhgPattrnTyp Type of pattern of intraventricular hemorrhage associated findings Type of pattern of intraventricular hemorrhage associated findings 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 Imaging Diagnostics Assessments and Examinations

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) 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 3.10 2022-09-08 09:17:51.0 Imaging Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:18:39.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

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 indeterminat 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 Basic 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:19:12.0 Imaging Imaging Diagnostics Assessments and Examinations

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 Imaging Diagnostics Assessments and Examinations

Free-Form Entry

cubic centimeter
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 traum 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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02423 Brain edema extent type EdemaExtentTyp Extent of the brain edema Extent of the brain edema 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 3.10 2022-09-08 09:20:15.0 Imaging Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:20:47.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02470 Subarachnoid hemorrhage anatomic site SubarachndHemorrhgAntmicSite Anatomic site of the subarachnoid hemorrhage (SAH) Anatomic site of the subarachnoid hemorrhage (SAH) 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 3.10 2022-09-08 09:22:46.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02400 Brain volumetric analysis measurement BrainVolumetrcAnlysMeasr Measured brain volume in cubic centimeters Measured brain volume in cubic centimeters 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 Imaging Diagnostics Assessments and Examinations

Free-Form Entry

cubic centimeter
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 3.10 2022-09-08 09:21:25.0 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C02434 Ventricle - fourth shift effacement displacement type Ventric4thShiftEffaceDisplTyp Displacement direction of fourth ventricle shift/effacement Displacement direction of fourth ventricle shift/effacemen 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 Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:25:04.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

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 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 Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:24:15.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02492 Venous sinus injury anatomic site VenousSinusInjryAntmicSite Anatomic site of the venous sinus injury Anatomic site of the venous sinus injury 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 3.10 2022-09-08 09:25:52.0 Imaging Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:26:44.0 Imaging Imaging Diagnostics Assessments and Examinations

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 3.10 2022-09-08 09:27:22.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02471 Subdural hematoma acute type SDHAcuteAntmicSite Type of acute subdural hematoma (SDH) Type of acute subdural hematoma (SDH) Heterogeneous (i.e. mixed density);Homogeneous Heterogeneous (i.e. mixed density);Homogeneous 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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02401 Brain atrophy encephalomalacia result BrainAtrphEncphlmlReslt Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Result of assessment of brain atrophy or encephalomalacia, defined as loss of tissue volume over time due to cell death or shrinkage. Brain atrophy or encephalomalacia Present;Likely;Indeterminate;Absent Tissue loss seen over serial images;Tissue loss in typical pattern, not seen on serial images;Nonspecific tissue loss or prominence of CSF spaces, duration or cause 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 Supplemental 3.00 2013-07-20 10:21:25.65 Imaging Imaging Diagnostics Assessments and Examinations

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 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 Imaging Diagnostics Assessments and Examinations

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 swellin 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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02482 Subdural hematoma mixed density CSF-like collection volume measurement SDHMxDenstyCSFCollctVolMeasr Measured volume in cubic centimeters of the subdural hematoma mixed density or CSF-like collection (calculated from length, width, maximal thickness) Measured volume in cubic centimeters of the subdural hematoma mixed density or CSF-like collection (calculated from length, width, maximal thickness) Subdural hematoma mixed density or CSF - like collection 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 3.10 2022-09-08 09:29:30.0 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C02412 Cisternal compression anatomic site CistCompressAntmicSite Anatomic site of cisternal compression Anatomic site of cisternal compressio Perimesencephalic cistern;Suprasellar cistern;Cisterna magna;Prepontine cistern;Superior cerebellar cistern Perimesencephalic cistern;Suprasellar cistern;Cisterna magna;Prepontine cistern;Superior cerebellar cistern Alphanumeric

Choose all that apply for each abnormal cistern.

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 Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02447 Intraventricular hemorrhage anatomic site ICHAntmicSite Anatomic site of the intraventricular hemorrhage Anatomic site of the intraventricular hemorrhag Lateral ventricle - R;Lateral ventricle - L;Third Ventricle;Fourth ventricle Lateral ventricle - R;Lateral ventricle - L;Third Ventricle;Fourth ventricle 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 Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02493 Venous sinus injury morphology type VenousSinusInjMorphTyp Morphology of the venous sinus injury Morphology of the venous sinus injury Venous sinus injury morphology type Compression;Occlusion;Laceration Compression;Occlusion;Laceration 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 3.10 2022-09-08 09:30:31.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02425 Brain edema anatomic site EdemaAntmicSite Anatomic site of the brain edema Anatomic site of the brain edema Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem Frontal - R;Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Cerebellum - R;Cerebellum - L;Brainstem 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 3.10 2022-09-08 09:30:50.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02459 Penetrating injury brain status PenetratngInjBrainStat Status of injuries caused by traumatic forces which penetrate any of the normal layers of the head, including scalp, skull, dura, and brain (excluding superficial scalp injuries) Status of injuries caused by traumatic forces which penetrate any of the normal layers of the head, including scalp, skull, dura, and brain (excluding superficial scalp injuries) Penetrating injury (choose one) Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. If answered #19 "Indeterminate," or "Absent," skip to question 21.

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 3.10 2022-09-08 09:31:23.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02472 Subdural hematoma acute status SubDurHematmAcutStat Status of a collection of acute blood between the arachnoid and the dura, typically (though not always) hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation. On MRI, the acute SDH is iso/hypointense on T1 and very hypointense on T2, GRE, and SW-imaging. Note: Please see additional categories below for subacute, chronic, and mixed collections if these better describe the lesion, or if the chronicity/timing is uncertain Status of a collection of acute blood between the arachnoid and the dura, typically hyperdense with a crescent shape on CT. Mixed density may be seen if the collection contains unclotted blood, CSF admixture, and/or active extravasation Acute subdural hematoma Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. Recommend collection at least during initial medical treatment. Add date stamp for when assessed.

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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02402 Brain atrophy encephalomalacia anatomic site BrainAtrphEncphlmlAnatSite Anatomic site of the brain atrophy/encephalomalacia Anatomic site of the brain atrophy/encephalomalacia Brain atrophy or encephalomalacia anatomic site Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Hippocampus - R;Hippocampus - L;Occipital - R;Occipital - L;Deep gray matter - R;Deep gray matter - L;Supratentorial white matter (corpus callosum, periventricular white matter) - R;Supratentorial white matter (corpus callosum, periventricular white matter) - L;Cerebellum - R;Cerebellum - L;Frontal - R 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 3.10 2022-07-11 12:12:40.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02505 Marshall CT classification code MrshlCTClassCode Code for Marshall CT classification Code for Marshall CT classification Marshall CT classification code 2;4;5;1;3 Diffuse injury: Cisterns present with shift 0-5 mm, lesions present, but no high or mixed density lesion >25 cc. May include bone fragments and foreign bodies;Diffuse injury with shift: Shift >5 mm, no high or mixed density lesion >25 cc.;Mass lesions: High or mixed density lesion > 25cc.;Diffuse injury, NVP: Intracranial pathology not visible on CT scan;Diffuse injury with swelling: Cisterns compressed or absent, shift 0-5 mm, no high or mixed density lesion >25 cc Numeric Values

Choose one. If answered #8 "Normal," "Not done," or "Unknown," skip remaining questions.

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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02436 Ventricle - fourth shift effacement findings type Vent4thShftEffacementFindTyp Other features of the fourth ventricle shift/effacement Other features of the fourth ventricle shift/effacemen Ventricle - fourth shift or effacement findings type Brainstem compression;Hydrocephalus Brainstem compression;Hydrocephalus 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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02483 Traumatic aneurysm findings type TraumAneurysmFindType Further describes the traumatic aneurysm Further describes the traumatic aneurysm Intraluminal thrombus;Cavernous (intradural);Skull fracture, with penetrating injury;Skull fracture, without penetrating injury Intraluminal thrombus;Cavernous (intradural);Skull fracture, with penetrating injury;Skull fracture, without penetrating injury 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 3.10 2022-09-08 09:46:30.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02413 Contusion findings type ContusnFindTyp Type of contusion findings in the image of the participant's brain Type of contusion findings in the image of the participant's brain Contusion findings Non-hemorrhagic;Cortical;Subcortical;Deep brain structures;Probable brain laceration (linear hemorrhagic or non-hemorrhagic pattern, often associated with overlying skull fracture);Hemorrhagic Non-hemorrhagic;Cortical;Subcortical;Deep brain structures;Probable brain laceration (linear hemorrhagic or non-hemorrhagic pattern, often associated with overlying skull fracture);Hemorrhagic 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 Basic 3.10 2022-09-08 09:45:53.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02448 Ischemia infarction hypoxic-ischemic injury acute subacute finding type IschInfrctHypoIschInjASaFndTyp Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Acute or subacute ischemia/infarction/hypoxic-ischemic injury present on scan Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) Isodense (for CT);Hyperdense (for CT);Hypointense (for MRI);Isointense (for MRI);Hyperintense (for MRI);Bright (for MRI);Normal (for MRI);Mixed (for CT or MRI);Hypodense (for CT) 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 Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02494 Imaging study date and time ImgStdyDateTime Date (and time, if applicable and known) the radiologic study was obtained Date (and time, if applicable and known) the radiologic study was obtained Imaging study date and time Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

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 3.10 2024-02-29 15:51:00.0 Imaging Imaging Diagnostics Assessments and Examinations

Free-Form Entry

C02426 Epidural hematoma findings type EpidurHematmaFindTyp Type of epidural hematoma (EDH) Type of epidural hematoma (EDH) Likely venous (due to association with adjacent bony injury/fracture, venous sinus, size, distribution, timing);Likely arterial (due to "swirl", different densities, location near major dural artery) Likely venous (due to association with adjacent bony injury/fracture, venous sinus, size, distribution, timing);Likely arterial (due to "swirl", different densities, location near major dural artery) Alphanumeric

Choose all that apply. Recommend collection at least during initial medical treatment. Add date stamp for when assessed.

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 Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02460 Penetrating injury brain anatomic site PenetratInjryBrainAntmicSite Anatomic site of the penetrating injury Anatomic site of the penetrating injury Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Internal capsule - R;Internal capsule - L;Thalamus/Basal ganglia - R;Thalamus/Basal ganglia - L;Midbrain - R;Midbrain - L;Cerebellum - R;Cerebellum - L;Pons - R;Pons - L;Medulla - R;Medulla - L;Frontal - R Frontal - L;Parietal - R;Parietal - L;Temporal - R;Temporal - L;Occipital - R;Occipital - L;Internal capsule - R;Internal capsule - L;Thalamus/Basal ganglia - R;Thalamus/Basal ganglia - L;Midbrain - R;Midbrain - L;Cerebellum - R;Cerebellum - L;Pons - R;Pons - L;Medulla - R;Medulla - L;Frontal - R 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 3.10 2022-09-08 09:47:58.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02473 Subdural hematoma acute anatomic site SubdurlHematAcutAntmicSite Anatomic site of the acute subdural hematoma (SDH) Anatomic site of the acute subdural hematoma (SDH) Subdural hematoma acute anatomic site 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 - interhemispheric infratentorial R;Posterior fossa - interhemispheric infratentorial 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 - interhemispheric infratentorial R;Posterior fossa - interhemispheric infratentorial 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 3.10 2022-09-08 09:48:55.0 Imaging Imaging Diagnostics Assessments and Examinations

Multiple Pre-Defined Values Selected

C02403 Brain swelling extent type BrainSwellngExtntTyp Extent of the brain swelling Extent of the brain swelling Brain swelling extent 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 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 3.10 2022-09-08 09:48:12.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C18701 Imaging modality type other text ImgModltyTypOTH The free-text field related to 'Imaging modality type', specifying other text. Type of radiologic study performed on the participant The free-text field related to 'Imaging modality type', specifying other text. Type of radiologic study performed on the participant 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 1.10 2024-02-29 15:53:08.0 Imaging Imaging Diagnostics Assessments and Examinations 4000

Free-Form Entry

C02437 Imaging modality type ImgModltyTyp Type of radiologic study performed on the participant Type of radiologic study performed on the participant Imaging modality Non-contrast CT;Contrast CT;CT Angiography;X-Ray Angiography;MRI;MR Angiography;Post-contrast CT;Contrast MRI;Non-contrast MRI;PET;SPECT;MEG;CT Perfusion;MRI Perfusion;OCT;Microscopy;DEXA;EEG;Ultrasound;Other, specify Non-contrast CT;Contrast CT;CT Angiography;X-Ray Angiography;MRI;MR Angiography;Post-contrast CT;Contrast MRI;Non-contrast MRI;PET;SPECT;MEG;CT Perfusion;MRI Perfusion;OCT;Microscopy;DEXA;EEG;Ultrasound;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 4.00 2024-02-29 15:53:08.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02484 Traumatic aneurysm status TraumatcAnrysmStat Status of false aneurysmal outpouching of an artery due to mechanical disruption of the entire vessel wall with extravasation of blood into a confined soft-tissue space Status of false aneurysmal outpouching of an artery due to mechanical disruption of the entire vessel wall with extravasation of blood into a confined soft-tissue space Traumatic aneurysm (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 3.10 2022-09-08 09:49:57.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02414 Contusion status ContusnStat Status of a focal area of brain parenchymal disruption due to acute mechanical deformation Status of a focal area of brain parenchymal disruption due to acute mechanical deformation Contusion Absent;Indeterminate;Present Absent;Indeterminate;Present Alphanumeric

Choose one. Add date stamp for when assessed. Recommend collection at least during initial medical treatment. If answered #22 "Indeterminate," or "Absent," skip to question 24.

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 3.10 2022-09-08 09:49:21.0 Imaging Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

C02450 Ischemia infarction hypoxic-ischemic injury extent type IschInfarcHypxcIschInjExtntTyp Extent of the ischemia/infarction/hypoxic-ischemic injury Extent of the ischemia/infarction/hypoxic-ischemic injury Ischemia or infarction or hypoxic-ischemic injury 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 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 Imaging Diagnostics Assessments and Examinations

Single Pre-Defined Value Selected

CSV