Request for MR Project number at Karolinska Institutet

Please fill in this. Expected turnaround is three workdays. Following this you will get a mail with information on how to proceed.
Invoices will be issued twice per year. If you need information to correctly fill in this form please contact jonathan.berrebi@ki.se
*Obligatorisk

Name of the project

Subject description

Please give a few lines in order to guide the neuroradiologist when reading the exam. E.g. state if it is a Patient group or healthy controls. Also state the primary clinical/biological question of the project.

PI's name

PI's email address

PI's mobile phone number

medically responsible name

For handling of incidental findings, if you don't have any medically responsible physician write "n/a" and MRC will assist you.

medically responsible physician's email address

medically responsible physician's phone number

Which MRI scanner will be used?

need for nursing assistance?

time per examination

preparation work

Estimated time you need to get access to the MRI scanner ahead of scanning in order to get your external equipment to work and your patient ready for scan.

Injection of contrast?

Time for each examination

including pre-time for each examination including preparation and clean-up

Need for extra resources at MRcenter

at present no charges for this, but important for planning

preparation room

patient room

silent room/sham scanner

parking space for equipment

Define need for MR-physicist assistance

Here can you tell which MRI sequences you want to run, if you have special wishes.

Will you include spectroscopy?

Rouslan will get in contact with you.

include fMRI?

Jonathan will get in contact if you plan this

Address for invoice

email address to where preliminary invoices should be sent:

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