Sub-Domain: Assessments and Examinations
CRF: Functional Magnetic Resonance Imaging (fMRI)
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 |
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C56608 | Imaging evoked functional scan stimulation type | ImagEvoFuncScanStimTyp | The type of stimulation used for the patient's evoked functional scan, if applicable. | The type of stimulation used for the patient's evoked functional scan, if applicable. | Type of stimulation, if applicable | Sensory;Non-painful;Painful | Sensory;Specify modality: e.g. visual/auditory/olfactory/gustatory/tactile;Specify modality: e.g. thermal, visual, chemical | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:32:17.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C08242 | Imaging acquisition duration | ImgAcquisitionDur | Duration of the imaging scan in minutes | The duration of the imaging acquisition, in minutes | Scan time duration | Numeric Values |
Record in minutes |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
minute | ||||||||||||||||||||||||||||||
C19019 | Imaging acquisition type other text | ImgAcquisitionTypOTH | The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition | The free-text field related to 'Imaging acquisition type' specifying other text. Type of imaging acquisition | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C13965 | Imaging paradigm task design type | ImgParadigmTaskDesignTyp | Nature of stimuli presented | Nature of stimuli presented | Reconstruction method used | Block Design;Event related;Block Design;Event related | Block Design;Event related;Block Design;Event related | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2012-10-05 00:00:00.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C15606 | Imaging multiple evoked functional acquisitions indicator | ImgMultEvokFuncAcqInd | Multiple evoked functional acquisitions | Multiple evoked functional acquisitions | Are there multiple evoked functional acquisitions? | Yes;No | Yes;No | Alphanumeric |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C56598 | Imaging functional scan patient task type | ImagFuncScanPtTaskTyp | The type of task that the patient performed for the evoked functional scan, if applicable. | The type of task that the patient performed for the evoked functional scan, if applicable. | Type of patient task, if applicable | Motor;Cognitive;Other, specify | Motor;Cognitive;Other, specify | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:05:48.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C15642 | Imaging statistical parametric mapping contrasts text | ImgStatParMapContTxt | Define contrasts in statistical parametric mapping | Define contrasts in statistical parametric mapping | Define contrasts | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C56609 | Imaging acquisition type text | ImagAcquiTypTxt | Text describing the type of acquisition used during imaging. | Text describing the type of acquisition used during imaging. | Acquisition type | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:41:20.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C08243 | Imaging matrix size value | ImgMatrixSizeVal | Value representing the imaging matrix size in millimeters | Value representing the imaging matrix size in millimeters | Matrix size | Alphanumeric |
Record in mm |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 09:34:41.527 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
millimeter | ||||||||||||||||||||||||||||||
C19020 | Imaging stimulation other text | ImgStimltnOTH | The free-text field related to 'Imaging stimulation type' specifying other text. Type of stimulation | The free-text field related to 'Imaging stimulation type' specifying other text. Type of stimulation | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C15529 | Imaging quality assurance/quality control (QA/QC) implemented techniques text | ImgQAQCImplentTxt | Free text field to describe the quality assurance techniques implemented. | Free text field to describe the quality assurance techniques implemented. | What measures of quality assurance scans were used? | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C15609 | Imaging rest duration | ImgRestDur | The rest duration between multiple evoked functional acquisitions | The rest duration between multiple evoked functional acquisitions | If there are multiple evoked functional acquisitions, what is the rest duration in between acquisitions? | Numeric Values |
Record in seconds. Report the duration of time between each functional acquisition. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
second | ||||||||||||||||||||||||||||||
C56599 | Imaging functional scan patient task other text | ImagFucScanPtTaskOthrTxt | Text describing another patient task performed during the evoked functional scan, if applicable. | Text describing another patient task performed during the evoked functional scan, if applicable. | Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:07:43.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15643 | Imaging statistical group analysis test text | ImgStatGrpAnalTstTxt | Statistical tests used for group analysis | Statistical tests used for group analysis | What were the statistical tests used for group analysis? | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C56610 | Imaging data denoised indicator | ImagDataDenInd | The indicator relating to whether the data was denoised during preprocessing. | The indicator relating to whether the data was denoised during preprocessing. | Was the data denoised? | No;Yes | No;Yes | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 11:15:07.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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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 (mm) | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 99 | millimeter | ||||||||||||||||||||||||||||
C15536 | Imaging paradigm approach type | ImgPardgmApprochTyp | The types of approach of imaging paradigm | The types of approach of imaging paradigm | Approach | Evoked Functional Scan with Stimulation;Evoked Functional Scan with Patient Task;Resting State Functional Imaging;Perfusion Imaging;Other | Evoked Functional Scan with Stimulation;Evoked Functional Scan with Patient Task;Resting State Functional Imaging;Perfusion Imaging;Other | Alphanumeric |
Choose all that apply |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C19330 | Sensory evoked potential stimulation count | SEPStimulationCt | The number of stimulations in sensory evoked potential. | The number of stimulations in sensory evoked potential. | Total number of stimulations? | Numeric Values |
Report the total number of times that the patient ewas stimulated during the study. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-06-09 16:27:34.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C15611 | Imaging standard average brain text | ImgStandrdAvgBrnTxt | Text representing the standard average brain used | Text representing the standard average brain used | Report standard average brain used | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C56600 | Imaging functional scan performed task count | ImagFuncScanPerfTaskCt | The total number of performed tasks during the patient's functional scan. | The total number of performed tasks during the patient's functional scan. | Total number of performed tasks? | Numeric Values |
Report the total number of times that the patient performed a task during the study |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:09:08.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | ||||||||||||||||||||||||||||||
C18011 | Imaging motion correction technique pass criteria text | ImgMotCorrTechPasCritTxt | Text of correction technique and pass criteria text | Type of correction technique and pass criteria text | Describe motion correction technique and the pass criteria text | Alphanumeric | No references available | Adult | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C56611 | Imaging high low pass filter approach used indicator | ImagHighLowPassFiltAppUsedInd | The indicator relating to whether the High/Low Pass filter approach was used during preprocessing. | The indicator relating to whether the High/Low Pass filter approach was used during preprocessing. | Was High/Low Pass filter approach used? | No;Yes | No;Yes | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 11:16:06.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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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 |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C15580 | Imaging acquisition type | ImgAcquisitionTyp | Type of imaging acquisition | Type of imaging acquisition | Acquisition type | EPI;SSFSP;Spiral;Other,specify;EPI;SSFSP;Spiral;Other,specify | Echo Planar Imaging (EPI);Steady State Free Precession (SSFSP);Spiral;Other, specify;Echo Planar Imaging (EPI);Steady State Free Precession (SSFSP);Spiral;Other, specify | Alphanumeric |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-16 14:01:43.01 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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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 differenet MRI scanners used | Numeric Values |
Report the number of different MRI scanners that were used for imaging participants during the study |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:11:13.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |