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Pre-Clinical Imaging Research Project Application Form
CIBM Pre-clinical research project application
Applicant information
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Applicant is not PI
Principal Investigator first name
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Zapier
Preview
MRI 9.4T @EPFL
MRI 14.1T @EPFL
PET @EPFL
PET @HUG
Number of MRI hours (MRI 9.4T@EPFL)
Number of MRI hours (MRI 14.1T@EPFL)
Number of PET hours (PET@EPFL)
Number of PET hours (PET@HUG)
Project Information
Project Title
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Project expected start date
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Project expected end date
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Funding source
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Funding start date
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Funding end date
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Number of extra persons needing booking access (calpendo)
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Number of extra persons needing booking access (calpendo)
Extra person 1
Extra person 1’s email
Extra person 2
Extra person 2’s email
Extra person 3
Extra person 3’s email
Extra person 4
Extra person 4’s email
Extra person 5
Extra person 5’s email
Authorization number for animal experiments
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Number of animals or ex vivo samples requested
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Project type
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Application in-vivo
Application phantoms/solutions, ex-vivo
Development in-vivo
Development phantoms/solutions, ex-vivo
PhD
PostDoc
Demonstration/Teaching
To be defined
Ethics information
Ethics committee approval
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Project description
Keywords that describe your project (separate with ,)
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Background and significance
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of 250 max words
Research plan
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of 250 max words
Imaging protocol
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of 250 max words
Approach to image data analysis
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of 250 max words
Other comments
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of 250 max words
Other project requirements
Special requirements and additional services (9.4T MRI@EPFL)
Assistance with data acquisition
Assistance with data analysis
MR expert needed
Vet needed for surgery before MRI scans
Vet needed for animal physiology monitoring
Operator service
Specific service
Safety briefing
Operator training
Other requirements
Other requirements
Special requirements and additional services (14.1T MRI@EPFL)
Training for operating scanner independently
Assistance with data acquisition
Assistance with data analysis
MR expert needed
Vet needed for animal monitoring
Vet needed for surgery before MRI scans
Other requirements
Other requirements
Special requirements and services (PET@EPFL)
Training for operating scanner independently
Assistance with data acquisition
Assistance with data analysis
MR expert needed
Vet needed for animal monitoring
Vet needed for surgery before MRI scans
Other requirements
Other requirements
Special requirements and services (PET@HUG)
Training for operating scanner independently
Assistance with data acquisition
Assistance with data analysis
MR expert needed
Vet needed for animal monitoring
Vet needed for surgery before MRI scans
Other requirements
Other requirements
Billing
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Billing address of the PI
Billing address of the PI
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