Anatomical Imaging
Date of scan:Equipment:Magnet Strength (choose one): FORMCHECKBOX 1.5T FORMCHECKBOX 3T FORMCHECKBOX 4T FORMCHECKBOX 7T FORMCHECKBOX Other, specify:Coil (Choose one): FORMCHECKBOX Single Coil FORMCHECKBOX 8-ch FORMCHECKBOX 16-ch FORMCHECKBOX 32-ch FORMCHECKBOX Other, specify:Name of the scanner manufacturer: FORMCHECKBOX GE FORMCHECKBOX Siemens FORMCHECKBOX Philips FORMCHECKBOX Toshiba FORMCHECKBOX Other, specifyNumber of different MRI scanners used: Scanner software or hardware updates during study performance:Quality Assurance:What measures of quality assurance were used?Noise:Patient movement:Distortions:Examination of images for gross anatomical abnormalities:Imaging Paradigm:Pulse sequence: FORMCHECKBOX High resolution anatomical FORMCHECKBOX Diffusion imaging FORMCHECKBOX Other, specifyImaging parameters:Repetition time (TR): (ms)Echo time (TE): (ms)Flip angle (FA): °Voxel size: (mm)Number of averages:Matrix size: (mm)Field of view: (mm2)Slice thickness: (mm)Number of slices:Gap between slices: (mm or %)Diffusion imaging:Number of diffusion directions:b-values:Diffusion imaging type: FORMCHECKBOX DTI FORMCHECKBOX DSI FORMCHECKBOX DKI FORMCHECKBOX Other, specifyScan time duration: (minutes)Preprocessing:What format was the data exported from the scanner to local workstations/computers?Was QA performed on the data for artifact detection (including movement) and potential exclusion of the subject data from analysis? FORMCHECKBOX Yes FORMCHECKBOX NoWere there any corrections for artifact removal (ex. Eddy current correction)? FORMCHECKBOX Yes FORMCHECKBOX NoDescribe pass criteria for motion: Processing and Analysis:Was a registration technique used to calculate the transformation to a standard average brain space FORMCHECKBOX Yes FORMCHECKBOX NoRegisteration technique used: FORMCHECKBOX Linear FORMCHECKBOX Non-LinearReport the standard average brain used:Reconstruction method used:What processing tool(s)/package(s) type and version was used for analyzing the data? (Choose all that apply) FORMCHECKBOX FSL, Version FORMCHECKBOX SPM, Version FORMCHECKBOX FREESURFER, Version FORMCHECKBOX 3D SLICER, Version FORMCHECKBOX TrackVis, Version FORMCHECKBOX Dipy, Version FORMCHECKBOX LC Model, Version FORMCHECKBOX Other specify, VersionAnalysis approach:Morphometry: FORMCHECKBOX Voxel Based Morphometry FORMCHECKBOX Cortical Thickness FORMCHECKBOX Cortical Surface Area FORMCHECKBOX Shape Analysis FORMCHECKBOX Volumetry FORMCHECKBOX White Matter Lesions FORMCHECKBOX Other, specify:Diffusion: FORMCHECKBOX Probabilistic FORMCHECKBOX Deterministic White Matter Tractography FORMCHECKBOX Other, specify:DTI measures: FORMCHECKBOX Fractional Anisotropy FORMCHECKBOX Mean Diffusivity FORMCHECKBOX Radial Diffusivity FORMCHECKBOX Axial Diffusivity FORMCHECKBOX Other, specify:Reporting:Thickness measures/comparison results:Volumetric measures/comparison results:Surface area measures/comparison results:Shape measures/comparison results:Diffusion measures/comparison results:White matter lesions: location, number and sizeIndicate the p-values used for comparisons between cohorts or the group averages:Describe the rationale for choosing the statistical thresholds for the results:Describe the method chosen for multiple comparisons correction:If applicable, indicate the coordinates of significant clusters FORMCHECKBOX N/AIf applicable, indicate the size of the significant clusters: FORMCHECKBOX N/AIf applicable, indicate the p-values used for any correlative analysis FORMCHECKBOX N/AGeneral InstructionsThis CRF contains data that would be collected when an anatomical brain imaging study is performed.Headache or migraine specific elements/measures that are not captured on this form but are important to the imaging analysis should be collected on other study-specific source documentation (e.g. Headache Diary, Concomitant Medications).Important note: All elements on this CRF are considered Supplemental and should only be collected if the research team considers them appropriate for their study.Specific InstructionsPlease see the Data Dictionary for definitions for each of the data elements included in this CRF Module.The CRF includes all instructions available for the data elements at this time.Date of scan – Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (The International Organization of Standardization Homepage). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).Magnet Strength – Choose one.Coil – Choose one.Name of the scanner manufacturer – Choose one.Number of different MRI scanners used – Report the number of different MRI scanners that were used for imaging participants during the study.What measures of quality assurance scans were used? – Examples include visual inspection by radiologist/ radiology technician.Patient movement – Report the technique used for measuring head movement in the scanner .Distortions – Report the technique used to detect distortions within MR images.Examination of images for gross anatomical abnormalities – Report the technique used for detecting gross anatomical abnormalities (e.g. images inspected by neuroradiologist).Pulse sequence – No additional instructions.Imaging parameters – No additional instructions.Scan time duration – No additional instructions.What format was the data exported from the scanner to local workstations/computers? – No additional instructions.Was QA performed on the data for artifact detection and potential exclusion of the subject data from analysis? – No additional instructions.Were there any corrections for artifact removal (ex. Eddy current correction)? – No additional instructions.Describe pass criteria for motion – Describe parameters for excluding patient data due to excessive head movement.Was a registration technique used to calculate the transformation to a standard average brain space? –No additional instructions.Registration technique used – Choose all that apply.Report the standard average brain used – No additional instructions.Reconstruction method used – No additional instructionsProcessing –What processing tool(s)/package(s) type and version was used for analyzing the data? –Choose all that applyAnalysis approach – No additional instructionsThickness measures/comparison results – No additional instructionsVolumetric measures/comparison results – No additional instructionsSurface area measures/ comparison results –No additional instructionsShape measures/comparison results – No additional instructionsDiffusion measures/comparison results – No additional instructionsWhite matter lesions: locations, number and size – No additional instructionsIndicate the p-values used for comparisons between cohorts or the group averages – No additional instructionsDescribe the rationale for choosing the thresholds for thresholding the results – No additional instructionsDescribe the method chosen for correcting for multiple comparisons – No additional instructionsIf applicable, indicate the coordinate of significant clusters – If not applicable, select ‘N/A’If applicable, indicate the size of significant clusters – If not applicable, select ‘N/A’If applicable, indicate the p-values used for any correlative analysis – If not applicable, select ‘N/A’ ................
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