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

 General Details

Title:
Imaging SPECT
Short Name:
ImagingSPECT
Description:
Single-photon emission computed tomography (SPECT) imaging information. References: NINDS CDE -https://www.commondataelements.ninds.nih.gov/PD.aspx#tab=Data_Standards SPECT Brain Perfusion Abnormalities in Mild or Moderate Traumatic Brain Injury, http://journals.lww.com/nuclearmed/Abstract/1998/05000/SPECT_Brain_Perfusion_Abnormalities_in_Mild_or.9.aspx http://emedicine.medscape.com/article/2064780technique# showall
Disease:
General (For all diseases)
Organization:
NIH
Required Program Form:
No
Standardization:
Standard NINDS CDE
Labels:
Form Type:
Imaging
Version:
1.0
Date Created:
2016-05-03
Owner:
Number of Data Elements:
121
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 Recommended 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 Sedation used indicator  Whether the participant/subject was administered any sedation SedationUsedInd Optional CDE
14 Imaging pre-scan procedure type  Type(s) of pre-scan action(s) administered to the participant/subject ImgPrescnProcdrTyp Optional CDE
15 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
16 Imaging scanner manufacturer name  Imaging scanner manufacturer name ImgScannerManufName Recommended CDE
17 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
18 Imaging scanner model name  Name of model of imaging scanner ImgScannerModelName Recommended CDE
19 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
20 Imaging scanner software name  Name of the scanner software that runs the imaging camera ImgScannerSftwrName Optional CDE
21 Imaging scanner software version number  Version number of the imaging scanner software ImgScannerSftwrVrsnNum Recommended CDE
22 Imaging provenance text  Imaging provenance ImgProvenanceTxt Optional CDE
23 Imaging analysis software name  Name of the software used for data processing or analysis of the imaging study. ImgAnlysisSftwrName Optional CDE
24 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
25 Imaging analysis software version number  The version number of the software used for quantitative analysis of the imaging study ImgAnlysisSftwrVrsnNum Optional CDE
26 Imaging notes text  General imaging notes ImgNotesTxt Recommended CDE
27 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

SPECT specific information (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Imaging anatomical scan date  Date of the cooresponding anatomical scan acquisition. ImgAntmicalScanDate Optional CDE
2 Imaging anatomical scan modality type  Modality of the corresponding anatomical scan. ImgAntmicalScanModltyTyp Optional CDE
3 Imaging anatomical scan modality type other text  The free-text field related to 'Imaging anatomical scan modality type' specifying other text. Type of radiologic study performed on the participant/subject ImgAntmicalScanModltyTypOTH Optional CDE
4 Imaging anatomical scan file hash code  Hash code of the corresponding anatomical scan file (SHA256). SHA256 produces hashes that are 256 bits long. ImgAntmicalScanFileHashCode Optional CDE
5 Imaging radioligand type  Isotope-labeled bioactive compound (generic or common name) used in the imaging scan ImgRadiolgndTyp Recommended CDE
6 Imaging radioligand other text  The free-text field related to 'Imaging radioligand type' specifying other text. Isotope-labeled bioactive compound (generic or common name) used in the imaging scan ImgRadiolgndOTH Optional CDE
7 Imaging isotope type  Type of radioactive isotope used for the imaging scan ImgIsotopeTyp Recommended CDE
8 Imaging isotope other text  The free-text field related to 'Imaging isotope type' specifying other text. Type of radioactive isotope used for the imaging scan ImgIsotopeOTH Optional CDE
9 Imaging radioligand dose value  Dose of injected radioligand for the imaging scan ImgRadiolgndDosVal Recommended CDE
10 Imaging radioligand dose unit of measure  Unit of measure for the dose of injected radioligand for the imaging scan ImgRadiolgndDoseUoM Recommended CDE
11 Imaging radioligand dose unit of measure other text  Other unit of measure for the dose of injected radioligand for the imaging scan ImgRadiolgndDoseUoMOTH Optional CDE
12 Imaging radioligand specific activity value indicator  Whether the specific activity value is known ImgRadiolgndSpcfcActValInd Recommended CDE
13 Imaging radioligand specific activity value  Value of the specific activity of the Radioligand in Bq/Kg ImgRadiolgndActVal Recommended CDE
14 Imaging raw data reconstruction method type  The type of method used for reconstruction of raw data from the imaging scan ImgRawDataReconstructMthdTyp Recommended CDE
15 Imaging raw data reconstruction method other text  The free-text field related to 'Imaging raw data reconstruction method type' specifying other text. The type of method used for reconstruction of raw data from the imaging scan ImgRawDataReconstructMthdOTH Optional CDE
16 SPECT acquisition with other bioelectric channels type  Type of other bioelectric channels acquisitions SPECT acquisition was taken with, e.g. EEG, EKG, EMG, EOG, etc. SPECTOtherBioChannelsTyp Optional CDE
17 SPECT acquisition with other bioelectric channels other text  A free text related to "SPECTOtherBioChannelsTyp" specifying other text SPECTOtherBioChannelsTypOTH Recommended CDE

Ictal Studies (Repeat Infinitely)

# Title Short Description Variable Name Required? Type
1 Seizure last occurrence date and time  The date and time the last seizure occurred SeizLastOccurDateTime Optional CDE
2 Imaging single-photon emission computed tomography ictal localization condition type  The seizure condition at the time of imaging of the brain using Ictal single-photon emission computed tomography (SPECT). ImgSPECTIctalLocalCondTyp Recommended CDE
3 Imaging single-photon emission computed tomography ictal localization condition other text  A free text related to "ImgSPECTIctalLocalCondTyp", specifying other text ImgSPECTIctalLocalCondTypOTH Optional CDE
4 Imaging ictal single-photon emission computed tomography localization cortical anatomic site  The cortical location of tracer binding/uptake based on Ictal single-photon emission computed tomography (SPECT) ImgISPECTLocCortclAntmicSite Recommended CDE
5 Imaging ictal single-photon emission computed tomography localization cortical anatomic other text  The free-text field related to 'Imaging ictal single-photon emission computed tomography localization cortical anatomic site' specifying other text. The cortical location of tracer binding/uptake based on Ictal SPECT ImgISPECTLocCortclAntmicOTH Optional CDE
6 Imaging ictal single-photon emission computed tomography localization rating type  Rating type of Imaging ictal single-photon emission computed tomography localization. As part of imaging using ictal single-photon emission computed tomography (SPECT). ImgISPECTLocalRatingTyp Recommended CDE
7 Imaging ictal single-photon emission computed tomography localization rating type other text  A free text repated to "ImgISPECTLocalRatingTyp", specifying other text ImgISPECTLocalRatingTypOTH Optional CDE
8 Imaging ictal single-photon emission computed tomography localization distribution pattern type  Type of distribution pattern of tracer binding/uptake based on Ictal single-photon emission computed tomography (SPECT) ImgISPECTLocalDistrPattTyp Recommended CDE
9 Imaging ictal single-photon emission computed tomography localization distribution pattern type other text  A free text related to "ImgISPECTLocalDistrPattTyp", specifying other text ImgISPECTLocalDistrPattTypOTH Optional CDE
10 Imaging ictal single-photon emission computed tomography localization uptake status  Status for the level of ligand tracer binding ImgISPECTLocalUptakeStatus Recommended CDE
11 Imaging ictal single-photon emission computed tomography localization uptake status other text  A free text related to "ImgISPECTLocalUptakeStatus", specifying other text ImgISPECTLocalUptakeStatusOTH Optional CDE
12 Imaging ictal single-photon emission computed tomography localization processing type  Processing type of imaging of the brain during a seizure using Ictal single-photon emission computed tomography (SPECT). ImgISPECTLocalProcessTyp Recommended CDE
13 Imaging ictal single-photon emission computed tomography localization processing type other text  A free text related to "ImgISPECTLocalProcessTyp", specifying other text ImgISPECTLocalProcessTypOTH Optional CDE
14 Imaging ictal single-photon emission computed tomography localization study conclusion status  The status of ictal single-photon emission computed tomography (SPECT) localization study ( a conclusion) ImgISPECTLocStdyConcStatus Recommended CDE
15 Imaging ictal single-photon emission computed tomography localization study conclusion status other text  A free text related to "ImgISPECTLocStdyConcStatus" specifying other text ImgISPECTLocStdyConcStatusOTH 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