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What information does my scan require?

ORI would like to help you prepare for your research imaging scan. In order to help streamline the process, ORI prepared scan specific information for you.  Please select the type of scan(s) required for your study:


MRI

If your study requires MRI, ORI requests you submit:


Please submit all information electronically to ori@iupui.edu

 

 Regulatory Compliance Required:

  • IRB
  • SRC (if applicable)


Please bring:

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PET

If your study requires a PET scan(s), ORI requests you submit:

  • A completed research imaging registration form click here
  • Radiology approved budget (ORI Assistance available, click here)
  • Copy of Protocol, Imaging Manual (if available)
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)


Please submit all information electronically to
ori@iupui.edu

Regulatory Compliance Required:

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PET-CT

If your study requires PET-CT scan(s), ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of Protocol, Imaging Manual (if available)
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.

Please submit all information electronically to ori@iupui.edu.

Regulatory Compliance Required:

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CT

If your study requires CT scan(s), ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of Protocol, Imaging Manual (if available)
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient if scheduled at Clarian. CT's scheduled at IIBIS, an IU core facility, can be billed directly to your I.U. account without this form.

Please submit all information electronically to ori@iupui.edu.

Regulatory Compliance Required:

  • IRB
  • Radiation Safety form A-1b  (for ORI assistance click here)
  • SRC (if applicable)

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X-ray

 If your study requires X-ray, ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of Protocol, Imaging Manual (if available)
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.


Please submit all information electronically to
ori@iupui.edu.

 Regulatory Compliance Required:

  • IRB
  • Radiation Safety form A-1b  (for ORI assistance click here)
  • SRC (if applicable)

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Nuclear Medicine (bone scan, mugga scan)


If your study requires nuclear medicine scan(s), ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.

Please submit all information electronically to ori@iupui.edu.

Regulatory Compliance Required:

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Interventional Radiology/ Fluoro

If your study requires Interventional Radiology/Fluoro, ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.

Please submit all information electronically to ori@iupui.edu.

Regulatory Compliance Required:

  • IRB
  • Radiation Safety form A-1b (contact Radiation Safety Office for assistance click here)
  • SRC (if applicable)

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Mammography

If your study requires Mammography, ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of IRB approval
  • Copy of Radiation Safety Approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.
     

Please submit all information electronically to ori@iupui.edu

Regualtory Compliance Required:

  • IRB
  •  Radiation Safety form A-1b (contact Radiation Safety Office for assistance click here)
  • SRC (if applicable)

 
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Ultrasound

 If your study requires ultrasound, ORI requests you submit:

  • A completed research imaging registration form click here
  • Copy of IRB approval
  • Copy of Radiation Safety approval
  • Copy of SRC approval (does my study need SRC approval?)
  • A completed Clarian Vendor Charge Form to accompany patient at scheduled appointment.

Please submit all information electronically to ori@iupui.edu.

Regulatory compliance required:

  • IRB  
  • SRC (if applicable)


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Indiana Institute for Biomedical Imaging Sciences (IIBIS) | Department of Radiology | 950 West Walnut Street, E124 | Indianapolis, IN 46202 | PHONE: (317) 963-1692 | FAX: (317) 274-8124