Vanderbilt University
Institute of Imaging Science
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Request for Radiochemistry Production and Small Animal Imaging Resources

Name:
Email:

Please be sure to use a complete and proper email address:
user.name@vanderbilt.edu
Phone:
   
Center Number::
10 digits: 1234567890
Principal Investigator:
 

Date(s) Resources are Needed:
Estimated Time of the Day Scanning Will Start: hh:mm
Number of Animals to be Scanned
Estimated End Time: hh:mm


Instruments you would like to reserve for Date and Time above:

(Please check at least one box)


IACUC #: 8 Characters: XXXXXXXX
   
Tracer:
   
For "Custom Synthesis", "Item Not Listed", "labeled agent", or "Multiple Isotopes" describe what is needed:


   
Please Note: Not all items are currently available.
Please see “Radiochemistry Policies and Procedure” for details.

Please Note: If you intend to use molecular probes for imaging in small animals, please also see the CSAI page and the new project request form therein

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