Form:Pancreatic Cystic Fluid Reference Set: Follow-up Imaging v2.2


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 955)
* 955Date of imaging test (MM/DD/YYYY): (Go To: 956)
* 956Type of abdominal imaging: (Go To: 423)
 
Permissible Values (value):CT scan (2)
 
 MRI (4)
 
 MRCP (6)
 
 MRI with MRCP (7)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 3242)
* 3242Cyst (s) present? (Go To: 3243)
 
Permissible Values (value):No (0) (Go To: 1097)
 
 Yes (1)
 
 Unknown (99) (Go To: 1097)
* 3243Number of cysts: (Go To: 3244)
* 3244Cyst size, cm: (Go To: 3245)
* 3245Location of largest cyst: (Go To: 3246)
 
Permissible Values (value):Head (1)
 
 Body (2)
 
 Tail (3)
 
 Diffuse (4)
 
 Unknown (99)
* 3246Characterization of cyst: (Go To: 3268)
 
Permissible Values (value):Unilocular (1)
 
 Multicystic (2)
 
 Unknown (99)
* 3268Presence of scar on cyst? (Go To: 3247)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3247Presence of solid component? (Go To: 3248)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3248Main duct involved with any cysts? (Go To: 3258)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Indeterminate (4)
 
 Unknown (99)
* 3258Final impression of cystic lesion, suspected IPMN: (Go To: 3249)
 
Permissible Values (value):Main duct (1)
 
 Side branch (2)
 
 Both (3)
 
 Indeterminate (7)
 
 Not applicable (98)
 
 Unknown (99)
* 3249Acute pancreatitis present? (Go To: 3232)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3259)
 
 Unknown (99)
* 3259Location of acute pancreatitis: (Go To: 3232)
 
Permissible Values (value):Head (1)
 
 Body (2)
 
 Tail (3)
 
 Diffuse (4)
 
 Unknown (99)
* 3232Atrophy present? (Go To: 3233)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3267)
 
 Unknown (99)
* 3267Atrophy type: (Go To: 3233)
 
Permissible Values (value):Multiple (2)
 
 Single (3)
 
 Unknown (99)
* 3233Calcifications present? (Go To: 3287)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3234)
 
 Unknown (99)
* 3234Quantity (severity) of calcifications: (Go To: 3235)
 
Permissible Values (value):Few <5 (1)
 
 Moderate 5-10 (2)
 
 Numerous >10 (3)
 
 Unknown (99)
* 3235Location of calcifications in pancreas: (Go To: 3236)
 
Permissible Values (value):Head (1)
 
 Body (2)
 
 Tail (3)
 
 Diffuse (4)
 
 Unknown (99)
* 3236Location of calcifications 2: (Go To: 3287)
 
Permissible Values (value):Parenchymal (1)
 
 Cysts (multiple) (3)
 
 Ductal (4)
 
 Unknown (99)
* 3287Ductal dilation present? (Go To: 3239)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3237)
 
 Unknown (99)
* 3237Duct dilation characterization: (Go To: 3238)
 
Permissible Values (value):Focal (1)
 
 Focal with abrupt cutoff (2)
 
 Multifocal (3)
 
 Diffuse (4)
 
 Unknown (99)
* 3238Severity of ductal dilation: (Go To: 3239)
 
Permissible Values (value):Mild <5 mm (1)
 
 Moderate 6-10 mm (2)
 
 Severe >10 mm (3)
 
 Unknown (99)
* 3239Duct obstruction (stricture) present? (Go To: 3240)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3240Mass present in the pancreas? (Go To: 3251)
 
Permissible Values (value):No mass (0)
 
 Focal without biliary obstruction (1) (Go To: 3241)
 
 Focal with biliary obstruction (2) (Go To: 3241)
 
 Unknown (99)
* 3241Location of pancreatic mass: (Go To: 3251)
 
Permissible Values (value):Head (1)
 
 Body (2)
 
 Tail (3)
 
 Unknown (99)
* 3251Gallstones and/or sludge present? (Go To: 3252)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 N/A (98)
 
 Unknown (99)
* 3252Common Bile Duct stricture (intrapancreatic portion)? (Go To: 3253)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3253Dilated CBD (Normal up to 6-7 mm)? (Go To: 3254)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3254Intrahepatic biliary dilatation? (Go To: 3255)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
* 3255CBD stone? (Go To: 1097)
 
Permissible Values (value):No (0)
 
 Yes (1)
 
 Unknown (99)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)