Sub-Domain: Assessments and Examinations
CRF: Brain Magnetic Resonance Imaging (MRI)
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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C12486 | Imaging other cortical abnormality type | ImgOthrCorticalAbnrmlyTyp | The type of other cortical abnormality | The type of other cortical abnormality | If yes specify | Schizencephaly;Porencephaly;Other, specify | Schizencephaly;Porencephaly;Other, specify | Alphanumeric |
Only answered if Yes is answered for "Other cortical abnormality" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C18860 | Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery other text | ImgGryMtrHyperT2FLAIRSiteOTH | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | The free-text field related to 'Imaging gray matter hyperintensity T2 fluid attenuated inversion recovery site' specifying other text. The type of anatomical site of the grey matter hyperintensity on T2/FLAIR (fluid attenuated inversion recovery) images | Other, specify | Alphanumeric |
Only answered if Yes is answered for "Grey matter hyperintensity on T2/FLAIR images" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C10685 | Imaging slice orientation type | ImgSliceOrientTyp | The slice orientation used in imaging acquisition | The slice orientation used in imaging acquisition | Slice Orientation | Axial;Coronal;Sagittal;Oblique | Axial;Coronal;Sagittal;Oblique | Alphanumeric |
To be answered for each sequence used for MRI |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C12497 | Imaging cerebellum abnormality type | ImgCrblmAbnrmlyTyp | The type of abnormality in the cerebellum on the image | The type of abnormality in the cerebellum on the image | If Abnormal specify | Other, specify;Cleft;Vermal hypoplasia;Hemispheric hypoplasia;Vermal dysplasia;Hemispheric dysplasia;Cysts | Other, specify;Cleft;Vermal hypoplasia;Hemispheric hypoplasia;Vermal dysplasia;Hemispheric dysplasia;Cysts | Alphanumeric |
Only answered if Abnormal is answered for "Cerebellum" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C17402 | Site name | SiteName | The name of the site for the study | The name of the site for the study | Where Performed | Alphanumeric | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-06-21 00:00:00.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 255 |
Free-Form Entry |
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C12476 | Imaging other incidental finding indicator | ImgOthrIncidentalFindInd | Indicator of whether other incidental findings are found within the image studies | Indicator of whether other incidental findings are found within the image studies | Other incidental findings | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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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 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
Tesla | |||||||||||||||||||||||||||||
C08242 | Imaging acquisition duration | ImgAcquisitionDur | Duration of the imaging scan in minutes | The duration of the imaging acquisition, in minutes | Total time in scanner | Numeric Values |
Include all studies done within each particular session. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
minute | ||||||||||||||||||||||||||||||
C12487 | Imaging other cortical abnormality site type | ImgOthrCorticalAbnrmlySiteTyp | The anatomical site(s) of the other cortical abnormality | The anatomical site(s) of the other cortical abnormality | If yes indicate locations | Temporal;Frontoparietal;Occipital | Temporal;Frontoparietal;Occipital | Alphanumeric |
Only answered if Yes is answered for "Other cortical abnormality" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C10837 | Imaging gap between slices measurement | ImgGapBetwnSlicesMeasr | Measurement of the gap between slices used in imaging acquisition | Measurement of the gap between slices used in imaging acquisition | Gap between slices | Numeric Values |
Answer should be recorded in millimeteres squared (mm) or % (for 2D acquisition) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millimeter | ||||||||||||||||||||||||||||||
C12498 | Imaging white matter T2 abnormal indicator | ImgT2WWMAbnrmlInd | Indicator of whether the white matter appears normal or abnormal on T2 weighted images | Indicator of whether the white matter appears normal or abnormal on T2 weighted images | White matter on T2 weighted images | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C17798 | Imaging contrast agent name | ImgContrastAgentName | Name of imaging contrast agent used | Name of imaging contrast agent used | If yes name of the contrast | Alphanumeric | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-22 16:57:17.79 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C12477 | Imaging other incidental finding type | ImgOthrIncidentalFindTyp | The type of other incidental findings found within the image studies | The type of other incidental findings found within the image studies | If Yes indicate types | PVL;Other white matter intensities;Venous malformations;Vascular malformations;Other, specify | PVL;Other white matter intensities;Venous malformations;Vascular malformations;Other, specify | Alphanumeric |
Only answered if Yes is answered for "Other incidental findings" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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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 |
To be answered for each sequence used for MRI |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C08244 | Imaging slice thickness value | ImgSliceThicknessVal | Value of the thickness of the slice measured in millimeters (mm) | Value of the thickness of the optical slice measured in millimeters (mm) | Slice thickness | Numeric Values |
Answer should be recorded in millimeteres squared (mm) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 99 | millimeter | ||||||||||||||||||||||||||||
C12488 | Imaging subcortical cyst indicator | ImgSubCorticalCystInd | Indicator of whether subcortical cysts are found in the image studies | Indicator of whether subcortical cysts are found in the image studies | Subcortical cysts | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C10927 | Imaging inversion time | ImgInversionTime | The time period between the 180° inversion pulse and the 90° excitation pulse in an Inversion Recovery pulse sequence. | The time period between the 180° inversion pulse and the 90° excitation pulse in an Inversion Recovery pulse sequence. | Inversion Time TI | Numeric Values |
If the sequences are different for T1 and FLAIR sequence parameters, record the FLAIR parameters as indicated. If they are the same, leave the FLAIR parameters section blank |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
millisecond | ||||||||||||||||||||||||||||||
C12499 | Imaging T2 weighted white matter abnormality site type | ImgT2WWMAbnrmlySiteTyp | The type of anatomical site of the white matter abnormality on T2 weighted images | The type of anatomical site of the white matter abnormality on T2 weighted images | If Abnormal indicate locations | Frontal;Parietal;Temporal;Cerebellar WM;Deep WM;Diffuse;Occipital;Periventricular | Frontal;Parietal;Temporal;Cerebellar WM;Deep WM;Diffuse;Occipital;Periventricular | Alphanumeric |
Only answered if Abnormal is answered for "White matter on T2 weighted images" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C17925 | Imaging contrast agent dose | ImgContrastAgentDose | Dosage of the contrast agent used | Dosage of the contrast agent used | dosage | Alphanumeric | No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C00008 | Age value | AgeVal | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. | Value for participant/subject's age, calculated as elapsed time since the birth of the participant/subject. | Age of affected | Numeric Values |
This is recorded for each brain MRI performed. This is a derived field from Date of Birth and Visit Date. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-08-28 16:08:00.453 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 1800 | month | DeBaun Forms | |||||||||||||||||||||||||||
C12478 | Imaging cortex-pachygyria indicator | ImgCortexPachygyriaInd | Indicator of whether cortex-pachygyria are found within the image studies | Indicator of whether cortex-pachygyria are found within the image studies | Cortex Pachygria includes cobblestone lissencelphaly | Yes;No | Yes;No | Alphanumeric |
Includes cobblestons lissencephaly |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C18720 | Imaging visual analysis location performed other text | ImgVisAnlysisLocPerfOTH | The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed | The free-text field related to 'Imaging visual analysis location performed type' specifying other text. Location where visual analysis of the imaging data are performed | Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 1.00 | 2014-05-27 13:34:46.0 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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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 |
To be answered for each sequence used for MRI. |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
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C12489 | Imaging subcortical cysts site type | ImgSubCorticalCystSiteTyp | The anatomical site(s) of the subcortical cysts | The anatomical site(s) of the subcortical cysts | If Yes indicate locations | Temporal;Frontoparietal;Occipital | Temporal;Frontoparietal;Occipital | Alphanumeric |
Only answered if Yes is answered for "Subcortical cysts" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C12500 | Imaging corpus callosum type indicator | ImgCrpsClsmTypInd | The condition of the corpus callosum fibers | The condition of the corpus callosum fibers | Corpus Callosum | Involved;Spared | Involved;Spared | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C10931 | Imaging quality of images technically satisfactory indicator | ImgQualImgTechnSatisInd | Indicator of whether the quality of the images were technically satisfactory. | Indicator of whether the quality of the images were technically satisfactory. | Quality of images technically satisfactory | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C17931 | Imaging magnetic resonance imaging performed indicator | ImgMRIPerfInd | Indicator as to whether or not Magnetic Resonance Imaging (MRI) on the brain has been performed on the participant/subject | Indicator as to whether or not Magnetic Resonance Imaging (MRI) on the brain has been performed on the participant/subject | Has brain MRI been performed? | Yes;No | Yes;No | Alphanumeric |
Supplemental-Highly Recommended |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C01520 | Head circumference measurement | HeadCircumfMeasr | Circumferential measurement of the head at the widest point - the distance from above the eyebrows and ears and around the back of the head | Circumferential measurement of the head at the widest point - the distance from above the eyebrows and ears and around the back of the head | Head circumference at time of scan | Numeric Values |
Record the head circumference of the participant/ subject as well as the units for the measurement. Answer should be recorded in centimeters (cm) |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Free-Form Entry |
0 | 100 | centimeter | 3181613 | |||||||||||||||||||||||||||
C12479 | Imaging cortex-pachygyria site type | ImgCortexPachygyriaSiteTyp | The anatomical site(s) of the cortex-pachygyria | The anatomical site(s) of the cortex-pachygyria | If Yes indicate locations | Temporal;Frontoparietal;Occipital | Temporal;Frontoparietal;Occipital | Alphanumeric |
Only answered if Yes is answered for "Cortex-pachygyria" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Multiple Pre-Defined Values Selected |
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C18813 | Imaging lesion found other text | ImgLesnFoundOTH | The free-text field related to 'Imaging lesion found type' specifying other text. Type of lesions found within the imaging study | The free-text field related to 'Imaging lesion found type' specifying other text. Type of lesions found within the imaging study | Other, specify | Alphanumeric |
Only answered if Yes is answered for "Lesions found" |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics | 4000 |
Free-Form Entry |
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C08254 | Imaging visual analysis location performed type | ImgVisAnlysisLocPerfTyp | Location where visual analysis of the imaging data are performed | Location where visual analysis of the imaging data are performed | Read type | Central;Local;Other, specify | Central;Local;Other, specify | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-25 08:54:08.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C12490 | Imaging ventricle abnormal indicator | ImgVentrclAbnrmlInd | Indicator of whether the ventricles appear normal or abnormal in the image studies | Indicator of whether the ventricles appear normal or abnormal in the image studies | Ventricles | Abnormal;Normal;Abnormal;Normal | Abnormal;Normal;Abnormal;Normal | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C12501 | Imaging internal capsule type indicator | ImgIntCpslTypInd | The condition of the internal capsule. | The condition of the internal capsule. | Internal capsule | Involved;Spared | Involved;Spared | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |
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C10932 | Imaging lesion found indicator | ImgLesnFoundInd | Indicator of whether lesions are found within the imaging study | Indicator of whether lesions are found within the imaging study | Lesions found | Yes;No | Yes;No | Alphanumeric |
No instructions available |
No references available | Adult;Pediatric | Supplemental ? Highly Recommended | 3.00 | 2013-07-24 11:38:01.2 | Brain Magnetic Resonance Imaging (MRI) | Assessments and Examinations | Imaging Diagnostics |
Single Pre-Defined Value Selected |