MRI Scanner Details Form

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Please let us know your email address.
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Will this person be the Primary Technical Contact?


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(The Primary Technical Contact will be responsible for technical communications with Resonance Health and if applicable, the scanning of the FerriScan Phantom Pack (or test patient) to verify the correct acquisition protocol has been set up.)
If not, please enter contact details of an appropriate Primary Technical Contact.
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Data Transfer and Access to Patient Results

Please nominate the person in your organisation who will have the authority to approve FAST access to others.


FAST is Resonance Health’s online portal through which image data is securely transmitted to us for analysis and where the results (reports) are downloaded. It is important that we only provide access to FAST to approved staff in your organisation.

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Which service would you like to set up for your organization?



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What type of MRI Scanner will you use?




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What field strength is your scanner?
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Can your scanner achieve a minimum TE of 6.0ms with a T2-weighted single spin echo (SE) sequence?



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Do you have a current Service Contract with your MRI manufacturer for regular maintenance?


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Cardiac T2* only


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The following questions will provide Resonance Health with a better understanding of how we can best assist you, should you proceed with our services.







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Would you like to be provided with information for referring clinicians?


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