This form structure is an organized set of data definitions for a form that has not been copyrighted

 General Details

Title:
Imaging General
Short Name:
ImagingGeneral
Description:
Modality independent imaging information
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Imaging
Publication Date:
2014-07-01
Version:
1.1
Date Created:
2014-06-06
Owner:
Number of Data Elements:
96
eForms:
N

 Documentation


 Groups & Attached Data Elements

Logically grouped data elements with defined frequency at which they repeat.

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Optional CDE
4 Visit date   Actual interview or visit date VisitDate Recommended CDE
5 Site name   The name of the site for the study SiteName Recommended CDE
6 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
7 Case control indicator   Indicator of whether subject is in the case or control arm of the study CaseContrlInd Optional CDE
8 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

Image Information (Appears At Least 1 Time)

# Title Short Description Variable Name Required? Type
1 Imaging study date and time  Date (and time, if applicable and known) the radiologic study was obtained. ImgStdyDateTime Recommended CDE
2 Imaging file  Image data file ImgFile Required CDE
3 Imaging file format type  Format of the imaging file ImgFileFormatTyp Required CDE
4 Imaging file format type other text  Format of the imaging file other text ImgFileFormatTypOTH Optional CDE
5 Imaging modality type  Type of radiologic study performed on the participant/subject ImgModltyTyp Required CDE
6 Imaging modality other text  The free-text field related to 'Imaging modality type' specifying other text. Type of radiologic study performed on the participant/subject ImgModltyOTH Optional CDE
7 Imaging preview file  Imaging preview file ImgPreviewFile Recommended CDE
8 Imaging file hash code  Hash code of the imaging file (SHA256). SHA256 produces hashes that are 256 bits long. ImgFileHashCode Optional CDE
9 Imaging acquisition duration  The duration of the imaging acquisition, in minutes ImgAcquisitionDur Recommended CDE
10 Imaging anatomic site  Type of body part or anatomy scanned in the imaging study ImgAntmicSite Recommended CDE
11 Imaging anatomic site other text  The free-text field related to 'Imaging anatomic site' specifying other text. Type of body part or anatomy scanned in the imaging study ImgAntmicSitOTH Optional CDE
12 Imaging head position text  Text describing head position relative to AC-PC coordinates, the line from the outer corner of the subjects eye to the ear tragus ImgHeadPostnTxt Recommended CDE
13 Imaging contrast agent used indicator  Indicator as to whether or not an imaging contrast agent was used for the scan. ImgContrastAgentUsedInd Optional CDE
14 Imaging contrast agent name  Name of imaging contrast agent used ImgContrastAgentName Optional CDE
15 Imaging contrast agent dose  Dosage of the contrast agent used ImgContrastAgentDose Optional CDE
16 Imaging contrast agent injection time  Time contrast medium was administered ImgContrastAgentInjctnTime Optional CDE
17 Imaging contrast agent injection rate  Rate of injection, in milliliters per minute (mL/min), of imaging contrast agent used, if any, for the perfusion magnetic resonance imaging (PMRI) scan ImgContrastAgentInjctnRate Optional CDE
18 Imaging contrast agent method type  Type of imaging contrast agent used for the scan. ImgContrastAgentMethodTyp Optional CDE
19 Imaging contrast agent method other text  The free-text field related to 'Imaging contrast agent method type' specifying other text. Indicates imaging contrast agent method of administration ImgContrastAgentMethodOTH Optional CDE
20 Sedation used indicator  Whether the participant/subject was administered any sedation SedationUsedInd Optional CDE
21 Imaging pre-scan procedure type  Type(s) of pre-scan action(s) administered to the participant/subject ImgPrescnProcdrTyp Optional CDE
22 Imaging pre-scan procedure other text  The free-text field related to 'Imaging pre-scan procedure type' specifying other text. Type(s) of pre-scan procedures administered to the participant/subject ImgPrescnProcdrOTH Optional CDE
23 Imaging scanner manufacturer name  Imaging scanner manufacturer name ImgScannerManufName Recommended CDE
24 Imaging scanner manufacturer other text  The free-text field related to 'Imaging scanner manufacturer name' specifying other text. Name of manufacturer of imaging scanner ImgScannerManufOTH Optional CDE
25 Imaging scanner model name  Name of model of imaging scanner ImgScannerModelName Recommended CDE
26 Imaging scanner model other text  The free-text field related to 'Imaging scanner model name' specifying other text. Name of model of imaging scanner ImgScannerModelOTH Optional CDE
27 Imaging scanner software name  Name of the scanner software that runs the imaging camera ImgScannerSftwrName Optional CDE
28 Imaging scanner software version number  Version number of the imaging scanner software ImgScannerSftwrVrsnNum Recommended CDE
29 Imaging provenance text  Imaging provenance ImgProvenanceTxt Optional CDE
30 Imaging analysis software name  Name of the software used for data processing or analysis of the imaging study. ImgAnlysisSftwrName Optional CDE
31 Imaging analysis software other text  The free-text field related to 'Imaging analysis software name' specifying other text. Name of the software used for data processing or analysis of the imaging study. ImgAnlysisSftwrOTH Optional CDE
32 Imaging analysis software version number  The version number of the software used for quantitative analysis of the imaging study ImgAnlysisSftwrVrsnNum Optional CDE
33 Imaging notes text  General imaging notes ImgNotesTxt Recommended CDE
34 Imaging skull stripping performed indicator  Skull stripping performed for anatomical and functional images ImgSklStrpPerfInd Optional CDE

Image pixel information and dimensions (Appears At Least 1 Time)

# Title Short Description Variable Name Required? Type
1 Imaging dimension type  Type of imaging dimension used ImgDimensionTyp Required CDE
2 Imaging dimension other text  The free-text field related to 'Imaging dimension type' specifying other text. Type of imaging dimension used ImgDimensionOTH Optional CDE
3 Imaging 1st dimension extent value  Image extent in first dimension (X) ImgDim1ExtentVal Required CDE
4 Imaging 1st dimension resolution value  Resolution in first dimension (X) ImgDim1ResolVal Required CDE
5 Imaging 1st dimension unit of measure value  Units of measure for image extent in first dimension (X) ImgDim1UoMVal Recommended CDE
6 Imaging 1st dimension unit of measure value other text  Units of measure for image extent in first dimension (X) other text ImgDim1UoMValOTH Optional CDE
7 Imaging 2nd dimension extent value  Image extent in second dimension (Y) ImgDim2ExtentVal Required CDE
8 Imaging 2nd dimension resolution value  Resolution in second dimension (Y) ImgDim2ResolVal Required CDE
9 Imaging 2nd dimension unit of measure value  Units of measure for image extent in second dimension (Y) ImgDim2UoMVal Recommended CDE
10 Imaging 2nd dimension unit of measure value other text  Units of measure for image extent in second dimension (Y) other text ImgDim2UoMValOTH Optional CDE
11 Imaging 3rd dimension extent value  Image extent in third dimension (Z) ImgDim3ExtentVal Recommended CDE
12 Imaging 3rd dimension resolution value  Resolution in third dimension (Z) ImgDim3ResolVal Recommended CDE
13 Imaging 3rd dimension unit of measure value  Units of measure for image extent in third dimension (Z) ImgDim3UoMVal Optional CDE
14 Imaging 3rd dimension unit of measure value other text  Units of measure for image extent in third dimension (Z) other text ImgDim3UoMValOTH Optional CDE
15 Imaging 4th dimension extent value  Image extent in forth dimension ImgDim4ExtentVal Optional CDE
16 Imaging 4th dimension extent type  Description of image extent in forth dimension ImgDim4ExtentTyp Optional CDE
17 Imaging 4th dimension extent type other text  Description of image extent in forth dimension other text ImgDim4ExtentTypOTH Optional CDE
18 Imaging 4th dimension resolution value  Resolution in forth dimension ImgDim4ResolVal Optional CDE
19 Imaging 4th dimension unit of measure value  Units of measure for image extent in forth dimension ImgDim4UoMVal Optional CDE
20 Imaging 4th dimension unit of measure value other text  Units of measure for image extent in forth dimension other text ImgDim4UoMValOTH Optional CDE
21 Imaging 5th dimension extent value  Image extent in fifth dimension ImgDim5ExtentVal Optional CDE
22 Imaging 5th dimension extent type  Description of image extent in fifth dimension ImgDim5ExtentTyp Optional CDE
23 Imaging 5th dimension extent type other text  Description of image extent in fifth dimension other text ImgDim5ExtentTypOTH Optional CDE
24 Imaging 5th dimension resolution value  Resolution in fifth dimension ImgDim5ResolVal Optional CDE
25 Imaging 5th dimension unit of measure value  Units of measure for image extent in fifth dimension ImgDim5UoMVal Optional CDE
26 Imaging 5th dimension unit of measure value other text  Units of measure for image extent in fifth dimension other text ImgDim5UoMValOTH Optional CDE
27 Imaging field of view measurement description text  The general description of field of view (FOV) or anatomical positioning ImgFOVMeasrDescTxt Recommended CDE
28 Imaging bandwidth value  Value, in Hertz per pixel, of bandwidth used in imaging acquisition. ImgBandwidthVal Optional CDE
29 Imaging slice orientation type  The slice orientation used in imaging acquisition ImgSliceOrientTyp Recommended CDE
30 Imaging slice orientation other text  The free-text field related to 'Imaging slice orientation type' specifying other text. The slice orientation used in imaging acquisition ImgSliceOrientOTH Optional CDE
31 Imaging slice over sampling value  Value of the slice over sampling (as a percentage) used in imaging acquisition ImgSliceOverSampVal Recommended CDE
32 Imaging slice thickness value  Value of the thickness of the optical slice measured in millimeters (mm) ImgSliceThicknessVal Recommended CDE
33 Imaging gap between slices measurement  Measurement of the gap between slices used in imaging acquisition ImgGapBetwnSlicesMeasr Optional CDE
34 Imaging registration technique used indicator  Indicator of whether a registration technique used to calculate the transformation to a standard average brain space ImgRegistTechUsedInd Recommended CDE
35 Imaging registration technique type  Type of registration technique used ImgRegistTechTyp Optional CDE
36 Imaging registration technique other text  The free-text field related to 'Imaging registration technique type' specifying other text. Type of registration technique used ImgRegistTechOTH Optional CDE

Image QA & QC (Appears At Least 1 Time)

# Title Short Description Variable Name Required? Type
1 Imaging QA/QC performed indicator  Was image-based QA/QC performed? ImgQAQCPerfInd Required CDE
2 Imaging QA/QC result  Results of image-based QA/QC ImgQAQCReslt Optional CDE
3 Imaging quality assurance/quality control (QA/QC) implemented techniques text  Free text field to describe the quality assurance techniques implemented. ImgQAQCImplentTxt Optional CDE
4 Imaging scan aborted reason  Reason the imaging was aborted ImgAbortRsn Optional CDE
5 Imaging artifacts indicator  Indicator of any obvious artifacts in the image ImgArtifactInd Optional CDE
6 Imaging artifact type  The artifacts present on the scan ImgArtifactTyp Optional CDE
7 Imaging artifact other text  The free-text field related to 'Imaging artifact type' specifying other text. The artifacts present on the scan ImgArtifactOTH Optional CDE
8 Imaging acquisition entire brain coverage indicator  Indicator of whether the imaging acquisition covered the entire brain ImgAcqEntireBrnCoverageInd Recommended CDE
9 Imaging visual analysis blinded indicator  Indicator of whether the visual analysis was performed blinded to clinical data ImgVisAnlysisBlindInd Optional CDE
10 Imaging visual analysis location performed type  Location where visual analysis of the imaging data are performed ImgVisAnlysisLocPerfTyp Optional CDE
11 Imaging visual analysis location performed other text  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 ImgVisAnlysisLocPerfOTH Optional CDE
12 Imaging visual analysis status  Status of findings from subjective review of image data ImgVisAnlysisStatus Optional CDE
13 Imaging visual analysis other text  The free-text field related to 'Imaging visual analysis status' specifying other text. Status of findings from subjective review of image data ImgVisAnlysisOTH Optional CDE
14 Imaging quality of images technically satisfactory indicator  Indicator of whether the quality of the images were technically satisfactory. ImgQualImgTechnSatisInd Optional CDE

Medication Pre-treatment (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Imaging medication pre-treatment status  Status of the medication(s) taken by the participant/subject pre-treatment for the imaging scan ImgMedctnPretrtmntStatus Optional CDE
2 Imaging medication pre-treatment withheld duration  Duration of time medication(s) were withheld from the participant/subject pre-treatment for the imaging scan ImgMedctnPretrtmntWithldDur Optional CDE
3 Imaging medication pre-treatment withheld duration unit of measure  Unit of measure (UOM) used to specify the length of time medication(s) were withheld from the participant/subject pre-treatment for the imaging scan ImgMedctnPrtrtmntWithhldDurUOM Optional CDE
4 Imaging medication pre-treatment withheld name  Medication pre-treatment withheld name ImgMedctnPrtrtmntWithhldName Optional CDE

 Change History

 Administrative Change History