Form: (EXPIRED) Canary PASS: Baseline MRI v2.0


CDE IDCDE Description
* 421EDRN Participant ID (Go To: 955)
* 955Date of imaging test (MM/DD/YYYY): (Go To: 423)
* 423EDRN Protocol ID (Go To: 422)
* 422EDRN Site ID (Go To: 929)
* 929EDRN Staff ID of the person who collected the data: (Go To: 4990)
* 4990PIRADS version (Go To: 2722)
 
Permissible Values (value):v2.0 (0)
 
 v2.1 (1)
 
 Unknown (99)
* 2722Prostate volume (cc): (Go To: 4688)
* 4688Did the procedure detect lesions? (Go To: 4687)
 
Permissible Values (value):No (0)
 
 Yes (1) (Go To: 3144)
 
 Unknown (99)
* 4687PIRADS score for procedure (Go To: 1097)
 
Permissible Values (value):PIRADS 1-Very low (clinically significant cancer is highly unlikely to be present) (1)
 
 PIRADS 2-Low (clinically significant cancer is unlikely to be present) (2)
 
 PIRADS 3-Intermediate (the presence of clinically significant cancer is equivocal) (3)
 
 PIRADS 4-High (clinically significant cancer is likely to be present) (4)
 
 PIRADS 5-Very high (clinically significant cancer is highly likely to be present) (5)
 
 Not applicable (98)
* 3144Number of loops: (Go To: 2159)
 
Permissible Values (value):1 (1)
 
 2 (2)
 
 3 (3)
 
 4 (4)
 
 5 (5)
 
 6 (6)
 
 7 (7)
 
 8 (8)
 
 9 (9)
 
 10 (10)
 
 11 (11)
 
 12 (12)
 
 13 (13)
 
 14 (14)
 
 15 (15)
 
 16 (16)
 
 17 (17)
 
 18 (18)
 
 19 (19)
 
 20 (20)
* 2159Specimen line number or identifier (system-generated): (Go To: 4545)
* 4545PIRADS score for lesion: (Go To: 5014)
 
Permissible Values (value):PIRADS 1-Very low (clinically significant cancer is highly unlikely to be present) (1)
 
 PIRADS 2-Low (clinically significant cancer is unlikely to be present) (2)
 
 PIRADS 3-Intermediate (the presence of clinically significant cancer is equivocal) (3)
 
 PIRADS 4-High (clinically significant cancer is likely to be present) (4)
 
 PIRADS 5-Very high (clinically significant cancer is highly likely to be present) (5)
 
 Unknown (99)
* 5014Maximum diameter of lesion (mm) (Go To: 2160)
* 2160Tissue position (laterality): (Go To: 2211)
 
Permissible Values (value):Right (1)
 
 Left (2)
 
 Unilateral, side not specified (3)
 
 Other (95)
 
 Unknown (99)
   2211Tissue position (zone): (Go To: 2213)
 
Permissible Values (value):Transition Zone (TZ) (1)
 
 Seminal vesicle (2)
 
 Anterior zone (3)
 
 Peripheral zone (4)
 
 Posterior zone (5)
 
 Unknown (99)
   2213Tissue position (regionality): (Go To: 2212)
 
Permissible Values (value):Apex (A) (1)
 
 Middle (M) (2)
 
 Base (B) (3)
 
 Unknown (99)
   2212Tissue position (position within region): (Go To: 3158)
 
Permissible Values (value):Lateral (lat) (1)
 
 Medial (med) (2)
 
 Unknown (99)
   3158Loop-specific comments: (Go To: 1097)
   1097Comments (do not include any participant identifiers) (Go To: End of Form)