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Long NameCT Image Acquisition NCI Standard Template
DefinitionThe CT Image Acquisition CRF module should be utilized to capture a specfic set of Computed Tomography (CT) image acquisition, either as a standalone study or as part of a Positron Emission Tomography - Computed Tomography (PET/CT) study.
ContextcaBIG
Protocol Long NameNCI Standard Template Forms
WorkflowDRAFT NEW
TypeCRF
Public ID3919983
Version1.0
Module Long NameModule InstructionsQuestionCDECDE Public IDCDE VersionValue Domain Data TypeValue Domain Unit of MeasureDisplay FormatValid ValueForm Value Meaning TextForm Value Meaning Desc.
Optional CT Image Acquisition QuestionsThere is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect CT image acquisition data entered by a clinician, these elements should be included.
Did CT imaging commence?Imaging Procedure Commence NY Code39025091.0CHARACTER
1NoThe non-affirmative response to a question.
2YesThe affirmative response to a question or activity.
Was imaging performed per protocol?Image Performed Per Study Protocol Code37882151.0CHARACTER
1NoThe non-affirmative response to a question.
2YesThe affirmative response to a question or activity.
Was non-enhanced imaging performed?Non-Enhanced Imaging Performed Code37882191.0CHARACTER
1NoThe non-affirmative response to a question.
2YesThe affirmative response to a question or activity.
kVpImage Kilovolt Peak Value32526791.0NUMBER
mAImage Milliampere Value38742341.0NUMBER
mAsImage mAs Value34198741.0NUMBER
Dose length product (DLP)Dose Length Product Quantity Float34420981.0NUMBERmGy-cm
CTDI volComputed Tomography Dose Index Volume Quantity Float34420621.0NUMBERmGy999.99
Slice NumberImage Slice Number Identifier38754521.0CHARACTER
Slice ThicknessImage Plane Slice Thickness Millimeter Float38765281.0NUMBERmm999.9
Series NumberImage Series Number Value38742401.0NUMBER
Image NumberImage Occurrence Number38062731.0NUMBER
Conditional DICOM CT Image Acquisition Questions There are business rules to indicate situations under which these elements should be used on a case report form. This set of elements supports machine generated CT image acquisition data that is part of the study.
kVpImage Kilovolt Peak Float 16 Number29044961.0CHARACTER
mAImage Milliampere 8 Byte Seconds Number38829721.0NUMBERseconds
Slice ThicknessImage Plane Slice Thickness Float or Fixed-point Millimeter Number31131852.0CHARACTERmm
Series NumberImage Series Integer Number29028161.0NUMBER
Optional DICOM CT Image Acquisition QuestionsThere is no requirement for inclusion of these elements on the case report form. If the design and scientific questions posed in the study dictate the need to collect machine generated CT image acquisition data, these elements should be included.
mAsImage mAs 8 Byte MM per Second Number38829711.0NUMBER
CTDIvolComputed Tomography Dose Index Volume Quantity 8 Byte Number38829911.0java.lang.Double
Image NumberImage Instance 12 Byte Number26594621.0NUMBER