BWH Manual (PDF) - INTRuST Neuroimaging Leadership Core

10.2 MRI Scan Information Log (Appendix 2)The “MRI Scan Information Log” should be completed at the time of acquisition forevery INTRuST subject. A copy of the MRI worksheet follows on the next page.The study coordinator at the referral site should complete the top section of the form. If thissection is incomplete, please contact the study coordinator for the information.The MRI technologist should complete the remainder of the form as the study is beingacquired. Please be sure to indicate if each sequence has been completed and note anyproblems or modifications to the protocol in the appropriate sections. Also, note if datatransfer, archive, and local copy for clinical reads have also been completed.Please complete the form in full and transfer to the study coordinator at the referral site.Please keep a copy on site for your records.*The MRI Scan Information Log must be provided back to the study coordinator followingthe scan.