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 *
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? *

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? *

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? *