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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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 | Numeric Values |
Include units |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:23:34.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C15637 | Imaging preprocessing method performed type | ImgPrepMethdPerfTyp | Imaging preprocessing method(s) performed | Imaging preprocessing method(s) performed | Were any of the following performed? | Smoothing;Upsampling/downsampling | Smoothing;Upsampling/downsampling | 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 |
Single Pre-Defined Value Selected |
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C56605 | Region coordinate y value | RegCoordYVal | Value representing the region's y coordinate. | Value representing the region's y coordinate. | Region coordinates | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:22:54.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C08239 | Imaging echo duration | ImgEchoDur | Duration between the application of the 90 degree pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition | Duration between the application of the 90° pulse and the peak of the echo signal, in milliseconds, during the spin echo and inversion recovery pulse sequences in imaging acquisition | Echo time (TE) | Numeric Values |
Record in ms |
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 |
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 |
Record the number of coils for the applicable receiver coils. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C10838 | Imaging voxel size axis 1 measurement | ImgVoxelSizeAxis1Measr | Measurement, in millimeters, of the axis 1 dimension of the voxel within the anatomy of interest | Measurement, in millimeters, of the axis 1 dimension of the voxel within the anatomy of interest | Voxel size | Numeric Values |
Record in mm |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C15598 | Imaging stimulation on period duration | ImgStimlOnPerDur | Duration on period of the stimulation | Duration on period of the stimulation | Duration on period | Numeric Values |
Record in minutes/seconds |
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 |
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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 | Numeric Values |
Include units |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:23:34.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C15638 | Imaging multiple comparisons method text | ImgMultComparMethdTxt | Type of method(s) chosen for correcting for multiple comparisons | Text description of method(s) chosen for correcting for multiple comparisons | Describe the method chosen for correcting multiple comparisons | Alphanumeric |
Describe the method chosen correcting multiple comparisons |
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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C56606 | Region coordinate z value | RegCoordZVal | Value representing the region's z coordinate. | Value representing the region's z coordinate. | Region coordinates | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:22:54.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C08240 | Imaging flip angle measurement | ImgFlipAngleMeasr | Measurement of the angle, in degrees, over which the radio frequency changes proton spin angle | Measurement of the angle, in degrees, over which the radio frequency changes proton spin angle | Flip angle (FA) | Numeric Values |
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 |
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 |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C10842 | Imaging analysis software name | ImgAnlysisSftwrName | Name of the software used for data processing or analysis of the imaging study. | Name of the software used for data processing or analysis of the imaging study. | What processing tool(s)/package(s) type and version was used for analyzing the data? | FSL;SPM;AFNI;Brain Voyager;IMAGEJ;FreeSurfer;SLICER;MRICron;LC model;Other, specify | FSL;SPM;AFNI;Brain Voyager;IMAGEJ;FreeSurfer;SLICER;MRICron;LC model;Other, specify | Alphanumeric |
Choose all that apply |
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 |
Multiple Pre-Defined Values Selected |
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C15600 | Imaging stimulation off period duration | ImgStimlOffPerDur | Duration of off period of the stimulation | Duration of off period of the stimulation | Duration off period | Numeric Values |
Record in minutes/seconds |
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 |
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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 |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-05-31 12:43:09.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15639 | Imaging coordinate of significant cluster text | ImgCoordSigClustrTxt | Text representing the coordinate of significant clusters | Text representing the coordinate of significant clusters | If applicable, indicate the coordinate of significant clusters | Alphanumeric |
If applicable, specify the coordinate of significant clusters. If not applicable select 'N/A' |
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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C56607 | Imaging region size measurement | ImagRegSizeMeasr | The measurement of the size of the imaging region. | The measurement of the size of the imaging region. | Region size (mm) | Numeric Values |
No additional instructions |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-19 10:25:31.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C08241 | Imaging field of view axis 1 measurement | ImgFieldViewAxis1Measr | Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters | Axis 1 of the image that is visible through the camera at a particular position in orientation and space in millimeters | Field of view | Numeric Values |
Answer should be recorded as a dimension (AAxAA) in millimeters squared (mm2) |
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 |
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 |
Choose one |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
Tesla | |||||||||||||||||||||||||||||
C10843 | Imaging analysis software version number | ImgAnlysisSftwrVrsnNum | The version number of the software used for quantitative analysis of the imaging study | The version number of the software used for quantitative analysis of the imaging study | Version | Alphanumeric |
Answer for each processing tool/package used to analyze the data. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C15603 | Imaging randomization technique type | ImgRandTchTyp | The type of randomization technique used during stimulation | The type of randomization technique used during stimulation | Randomization technique | Randomized delivery;Non-randomized delivery | Randomized delivery;Non-randomized delivery | Alphanumeric |
Choose one. Report whether the order of the stimuli or order of on and off-periods was random or non-random. |
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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C56594 | Imaging significant cluster size text | ImagSigClustSizeTxt | Text describing the size of any significant clusters found. | Text describing the size of any significant clusters found. | If applicable, indicate the size of the significant clusters | Alphanumeric |
If not applicable, select 'N/A'. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2017-06-16 10:55:22.0 | Functional Magnetic Resonance Imaging (fMRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C15640 | Imaging corrective analysis P-values number | ImgCorrecAnlsysPValNum | P-values used for any corrective analysis | P-values used for any corrective analysis | If applicable, indicate the p-values used for any correlative analysis | Numeric Values |
If applicable, specify the coordinate of significant clusters. If not applicable select 'N/A' |
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 |
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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 |