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Study ID: HUM00093760 IRB: IRB MED Date Approved: 9/16/2022 Expiration Date: 9/15/2023MAGNETIC RESONANCE (MR) SAFETY SCREENING FORM **Please complete both sides in their entirety** (If under 18, form
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Functional MRI (fMRI) is a technique used to measure and map brain activity by detecting changes associated with blood flow.
Researchers or healthcare professionals conducting studies or experiments using fMRI may be required to file the form.
The form typically requires details about the study, research protocol, subjects, and imaging procedures.
The purpose of the form is to ensure proper documentation and reporting of fMRI studies to comply with regulations.
Information such as study details, research protocol, imaging procedures, and subject information may need to be reported.
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