MRI Scanner Protocol Template


Please DO NOT submit this form until your project has been approved in the BMC database and you have completed safety training.
 
Scanner *
Equipment
Which coil do you use? *





Which headphones do you use? *





What visual equipment do you use? *



Do you use the Optoacoustics microphone? *


Do you use the eyetracker? *


Which squeeze ball do you use? *


Do you use the trigger? *


Which button box do you use? *






What setting do you use on the button box? *





Do you use ECG gating? *


Subject Setup
If a Tech is available, would you like help with the any of following? Choose all that apply.*



Do you play movies or music? *




Which earplugs do you prefer? *





Do you use vacuum cushions? *



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 to run the scanner? *


Which computer do you use for stimuli? *



Do you use any WIPS/IPRS/custom built sequences? *


Is the WIP/IPR license agreement under the above PI’s name? *


Do you have authorization from the licensed PI to use their WIP/IPR? *


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



Misc
Do you take blood pressure readings? *


Do you perform blood draws at BMC? *


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? *