JNET Journal of Neuroendovascular Therapy COI Disclosure Form

Authors of JNET Journal of Neuroendovascular Therapymust clearly indicate at the time of submission any conflictof interest (COI) by means of Author Disclosure of RelevantFinancial Relationships．For more details, see the society’sCOI policies at

Disclose COI both by 1) submission of COI form and 2) disclosure statement on the manuscript.

1) The firstauthor or the corresponding author collect the conflict ofinterests of all authors, put them together in this COI form, andsubmit it onto the online submission peer-review system.

Manuscript Title
Name of the first author or Corresponding author
Institution

Authors who have COI should give their names and the company’s names in the right boxes.

Author’s spouse, first degree relative, and any person whoshare interest with authors, should disclose conflict of interestregarding Employment, Stock ownership and Patent royalties.

If there is a conflict of interest, delete “No” in the box below and provide details. If the listed relationship does not apply to you or a family member, delete “Yes”.

Amount / Yes or No / If yes, give names of authors and entities.
Employment/Leadership position/ Advisory role / 1,000,000 JPY or more / Yes No
Stock ownership / Profit of 1,000,000 yen or more annually from the stock of one company/ownership of 5% or more of total shares of one company / Yes No
Patent royalties/licensing fees / 1,000,000 JPY or more / Yes No
Honoraria (e.g. lecture fees) / 1,000,000 JPY or more / Yes No
Fees for promotional materials
(e.g. manuscript fee) / 500,000 JPY or more / Yes No
Research funding / 2,000,000 JPY or more / Yes No
Consigned research fund / 10,000,000 JPY or more / Yes No
Chair courses / 2,000,000 JPY or more / Yes No

2)Disclosure Statement on Manuscript and Online System

i) State the conflict of interest before References section

ii) Ifone or more authors have conflict of interest, do not specify theauthors’ names on the manuscript but keep them anonymous.Instead, specify the authors’ names on the submission peer-reviewsystem.

e.g.) A (author name) serves as a consultant to Z (entity name); B’s spouse is chairman of Y; C received a research grant from X; D received lecture fees from V; E holds a patent on U; F has been reimbursed by T for attending several conferences; G received honoraria for writing promotional material for S; H has no conflict of interest.; All authors have no conflict of interest.