SPMIC Study Details Submission Form

Please fill out all sections on the form that are applicableand give reasons for any blanks, e.g. N/A or ‘in progress’. Submit via email .

Title
Category
Select one or more.Class teaching should be booked directly with Facility Manager. / Science
Commercial Study
PhD. Teaching
MSc. Teaching
Short name (8 char max)
Brief Description (up to 200 char)
PI Name
Responsible School
Main Contact
Other people involved
Name, involvement & responsibility.
e.g. Dr XXXX, paradigm design & writing paper
Indicate MRI or MEG competent people and MR assistants
Names and usernames of those able to book on Calpendo
Number of hours and fundingfor each facility required
Split hours requested into development and full study hours if it helps explain the application.
For MEG also indicate MRI hours required for anatomical images / Facility / Expected price per hour / Number of hours / Price per hour if less than fully funded
1.5T / £300
3T / £400
7T / £650
MEG / £400
Other
Total Income(Also give % of fully funded cost if less than 100%)
Justification for any deviation from full funding. Priority is given to fully funded projects. Development time will be scrutinized by ExCo. Highlight cross cutting factors e.g. sequence development or validation, development of cohorts.
Funding Source
Give date of grant submitted and exact funding requested
Account Code
Activity Code
Cost Centre
Contact Name(s)/email for invoicing and financial queries
Split of funding across financial years
e.g. project from Jun16-Aug17. £14k might split Jun16-Jul16 = £2k Aug16-Jul17 £12k. / Aug15-Jul16 :
Aug16-Jul17 :
Aug17-Jul18 :
Details of funding constraints
e.g. deadlines within the financial year that money should be spent
Start/End Date of scanning
End date cannot exceed 3 years. May be renewed but cost cannot be guaranteed
Volunteer/Booking details
e.g. 20 volunteers scanned twice. 5 hr sessions scanning 4 subjects in each. Total hours required = 50
Ethics code(s)
Please confirm that safety form and information about incidental findings is taken from information on SPMIC website.
Data sharing arrangement
What does ethics approval say?
Other approvals/agreements obtained e.g. R&D, contract with industrial partner etc.
Indicate any project-specific safety issues that you foresee.
Additional risk assessments may be required before the project starts
Indicate which facilities you want to use.
Ring your preferred choice(s) and cross through any you definitely cannot use. / 0.5 T Paramed (upright) / 1.5 T GE / 3T GE / 7T Philips / MEG
1.5 T Philips (until 31/03/17) / 3T Philips Achieva
3T Philips Ingenia (widebore)
Justify request if very specific:
Equipment required
e.g. RF coils / button response kit / EEG etc.
Project Detailscan be attached separately
e.g. sequences to be developed, full details of fMRI paradigms. MEG analysis approaches anticipated. Include references.
Data analysis plans
Do you require analysis support? [This may incur costs]
Post Project Aims
(PhD thesis, papers, further funding etc)
Relevant prior work particularly using SPMIC or predecessor facilities
e.g. Previous project 2012-2013 XXX on 3T,XX hours, funding 10k. Published in…
Select the user group most appropriate to review your project: /
  1. Acquisition and data analysis (sequence development and areas not covered below)
  2. Clinical and commercial trials (including multicentre trials)
  3. Molecular Imaging (including cancer imaging)
  4. Neuroimaging (clinical neurology and basic neuroscience)
  5. For MEG we recommend contacting Matt Brookes before applying
  6. MSK Imaging
  7. Obesity, GI and liver imaging
  8. Lung Imaging

SPMIC use only: Do not complete this page.

For scientific and commercial projects

SPMIC project number
What is your usergroup’s opinion of the proposed science, in particular the imaging aspects? Please justify. / Acceptable/Unacceptable
Is this externally peer reviewed?
What the expertise of the usergroup to judge this?
How does this project interact with others going on in the UoN?
Do the project team propose to provide appropriate staffing for the level of complexity of the study?
Do you think the project team will require particular support from SPMIC (consider both imaging and other aspects)?
Is this study fully funded ? / Y/N
Do you support the funding level (please justify your response)?
Do you have any other concerns about this study?
Are there any particular SPMIC risks? (e.g. Does the study require lots of early morning slots? Does the study require an exceptionally large amount of scanner time?)
15% of scanner time is allocated to unfunded development work (strategic innovation, maintaining imaging and associated protocols at the state of the art, some validation or normative data). Please explainwhether or not you believe this project falls into this category, and highlight potential benefits to other teams and usergroups.

For Teachings projects

School considering the project / Physics (X hours/year)
Medicine (X hours/year)
Psychology (X hours/year)
MSc or PhD project?
Name of student
Time previously given to this student