Sub-Domain: Assessments and Examinations
CRF: Magnetic Resonance Angiography (MRA)
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 | Source | Form Set | Form | Field | Domain | CDASH Variable | CDASH Definition | CDASH Label | Controlled Terminology | Prompt | Essentiality | Question Text | CDASH imp guidance | SDTM IG target | csDSR | PhenX | Data Type | CRF Completion Inst | SDTMIG Target Var | SDTMIG Target Map | Codelist Name | PVs | Pre Pop Value | Query Display | List Style |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
C55777 | Imaging inter peri ictal headache since end duration | ImagInterPeriIctHeadSincEndDur | The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. | The duration of time since the end of the subject's last inter-ictal or peri-ictal headahe. | If inter-ictal or peri-ictal, duration of time since end of last headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:23:34.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
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 | Numeric Values |
Record in ms |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C15568 | Imaging post-processing method name | ImgPstprocssMethdName | Method used for image post-processing | Method used for image post-processing | What processing tool(s)/package(s) version(s) was/were use for analyzing the data? | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||
C55778 | Imaging inter peri ictal next headache start duration | ImagInterPeriIctNextHeStartDur | The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. | The duration of time until the start of the subject's next inter-ictal or peri-ictal headache. | If inter-ictal or peri-ictal, duration of time until start of next headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:23:34.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
|||||||||||||||||||||||||||||||||
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 | Numeric Values |
Record in ms |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
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 | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
C55779 | Imaging automated evaluation vascular MRI data indicator | ImagAutoEvalVasMRIDataInd | The indicator relating to whether or not an automated evaluation of vascular magnetic resonance imaging (MRI) data has been given. | The indicator relating to whether or not an automated evaluation of vascular magnetic resonance imaging (MRI) data has been given. | Automated evaluation of vascular magnetic resonance imaging data? | No;Yes | No;Yes | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:26:23.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||||
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 | Numeric Values |
Record in degrees |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
degree | ||||||||||||||||||||||||||||||
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 | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
C55780 | Imaging vessel studied text | ImagVessStudTxt | Text describing any and all of the subject's vessels that were studied. | Text describing any and all of the subject's vessels that were studied. | Vessel studied? If yes, list all vessels studied | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:30:51.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
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 |
Record in mm |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 99 | millimeter | ||||||||||||||||||||||||||||
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 | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
Tesla | |||||||||||||||||||||||||||||||
C55781 | Imaging statistical test significance level outline text | ImagStatTestSigLevOutTxt | Text outlining the statistical test(s) and significance levels for comparison between the test and control groups of the imaging study. | Text outlining the statistical test(s) and significance levels for comparison between the test and control groups of the imaging study. | Outline the statistical test(s) and significance levels for cmparisons between test and control groups | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:39:11.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||||
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 |
No additional instructions |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
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 |
No additional instructions |
No references available | Adult;Pediatric | Supplemental | 1.00 | 2014-05-27 13:34:46.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
||||||||||||||||||||||||||||||
C55782 | Imaging scanner software hardware update text | ImagScanSoftHardUpdateTxt | Text describing any scanner software or hardware updates during the time the study was performed. | Text describing any scanner software or hardware updates during the time the study was performed. | Scanner software or hardware updates during study performance | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:43:09.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 255 |
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 | Coil (choose one) | 1;8;16;32;Other, specify | Single coil;8 channels;16 channels;32 channels;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||||
C19015 | Imaging angiography method other text | ImgAngioMethdOTH | The free-text field related to 'Imaging angiography method type' specifying other text. Type of angiography method performed | The free-text field related to 'Imaging angiography method type' specifying other text. Type of angiography method performed | Other, specify | Alphanumeric |
If 'contrast enhanced', specify the contrast. It 'Time of flight' record in seconds. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
||||||||||||||||||||||||||||||
C10685 | Imaging slice orientation type | ImgSliceOrientTyp | The slice orientation used in imaging acquisition | The slice orientation used in imaging acquisition | Slice orientation | Transversal;Sagittal;Coronal;Other, specify | Transversal;Sagittal;Coronal;Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-24 11:38:01.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||
C55773 | Imaging MRI scanner used count | ImagMRIScanUsedCt | The number of different MRI scanners that were used on the subject. | The number of different MRI scanners that were used on the subject. | Number of different MRI scanners used | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:11:13.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
|||||||||||||||||||||||||||||||||
C15555 | Imaging visual analysis performed indicator | ImgVisAnlysisPerfrmInd | Whether visual analysis was performed while blind to clinical data | Whether visual analysis was performed while blind to clinical data | Was visual analysis performed while blind to clinical data? | Yes;No;Unknown | Yes;No;Unknown | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||
C55774 | Imaging headache relation time type | ImagHeadacheRelTimeTyp | The type of timing of the imaging in relation to headache. | The type of timing of the imaging in relation to headache. | Timing of imaging in relation to headache | Inter-Ictal;Ictal;Peri-Ictal | Inter-Ictal;Ictal;Peri-Ictal | Alphanumeric | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:14:56.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value 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. | Date of scan | 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.). |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
|||||||||||||||||||||||||||||||
C15558 | Imaging angiography method type | ImgAngioMethdTyp | Type of angiography method performed | Type of angiography method performed | Angiography method | Contrast enhanced;Time of flight;Other, specify;Contrast enhanced;Time of flight;Other, specify | Contrast enhanced;Time of flight;Other, specify;Contrast enhanced;Time of flight;Other, specify | Alphanumeric |
If 'contrast enhanced', specify the contrast. It 'Time of flight' record in seconds. |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||
C55775 | Imaging ictal pain intensity value | ImagIctPainIntensVal | The value related to the intensity of the subject's pain if the timing is ictal | The value related to the intensity of the subject's pain if the timing is ictal | If ictal, pain intensity at time of recordings | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:19:15.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 10 | |||||||||||||||||||||||||||||||
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 | Magnet Strength (choose one) | 1.5T;3.0T;4.0T;7.0T;Other, specify;1.5T;3.0T;4.0T;7.0T;Other, specify | 1.5T;3.0T;4.0T;7.0T;Other, specify;1.5T;3.0T;4.0T;7.0T;Other, specify | Alphanumeric | Adult;Pediatric | Supplemental | 3.00 | 2013-08-28 16:08:00.453 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
Tesla | ||||||||||||||||||||||||||||||
C15561 | Imaging angiography contrast enhanced text | ImgAngioContrastEnhancTxt | If contrast enhanced in angiography, specify the method | If contrast enhanced in angiography, specify the method | Contrast enhanced, specify | Alphanumeric |
If contrast enhanced in angiography method, specify the contrast |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
||||||||||||||||||||||||||||||
C55776 | Imaging ictal headache since onset duration | ImagIctHeadSinceOnsetDur | The duration of time since the onset of the subject's headache if it was ictal. | The duration of time since the onset of the subject's headache if it was ictal. | If ictal, duration of time since onset of headache (include units) | Numeric Values | Adult;Pediatric | Supplemental | 1.00 | 2017-05-31 12:21:21.0 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
|||||||||||||||||||||||||||||||||
C02496 | Imaging scanner manufacturer name | ImgScannerManufName | Name of manufacturer of imaging scanner | Imaging scanner manufacturer name | Name of scanner manufacturer | GE;Siemens;Philips;Toshiba;Other, specify | GE;Siemens;Philips;Toshiba;Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-25 08:54:08.2 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
|||||||||||||||||||||||||||||
C15565 | Imaging angiography time of flight method duration | ImgAngioTOFMethdDur | Time of flight (TOF) method duration | Time of flight (TOF) method duration | Time of flight, specify time | Numeric Values |
Record in seconds |
No references available | Adult;Pediatric | Supplemental | 3.00 | 2013-07-16 14:01:43.01 | Magnetic Resonance Angiography (MRA) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
second |