MRI Scanner Protocol Template


Please make sure to also submit your project to the BMC database and complete your safety training.
 
Scanner *
Equipment
Which modality are you using? *



Which coil do you use? *
Which headphones do you use? *





Do you use the Optoacoustics microphone? *


Do you use the Opto noise cancelling feature? *


What visual equipment do you use?


Do you use a camera? *



What camera do you use? *


Do you collect physiological data? *


What type of physiological data do you collect? (Check all that apply) *






Which emergency squeeze ball/button do you use? *


Do you use the trigger? *


Which button box do you use? *






What setting do you use on the button box? *





Which computer do you use for stimuli? (Check all that apply) *




Subject Setup
Which Radiopharmaceutical(s) will you be using? *

What type of uptake? *



Do you want the subject to wear a face mask during the scan? *



Do you play movies or music? *




Which earplugs do you prefer? *




Do you use the weighted blanket? *



Do you know how to pick out corrective lenses if required for your subject? *


Do you use a fiducial marker? *



Scanning
Do you need tech assistance? *



Do you ever need an MRI tech to be your safety second? *



What type of MRI sequences do you run? (Check all that apply) *










Do you need to save TWIX or .RDA files? *


Do you use any HCP/CMRR sequences? *


Misc
Do you take blood pressure readings? *


Do you perform blood draws at BMC? *


Do you need to draw blood while inside the scanner? *


Do you schedule familiarization sessions? *


Which scanner do you use for familiarization sessions? *



Do you use the prep room? *




Do you administer any study medications and/or foods in the prep room or Prisma suite? *


Is this an RDRC protocol? *