NCRI Imaging Advisory Group study proposal form

 

All fields must be completed

1. Concept initiated/proposed by:

Lead proposer:


Email:


Co-proposers (if none, please state none):


CSG contact name (if none, please state none):



2. Concept information:

Working title:


Brief summary of study design (flow diagram; patient population; main outcome measures; other research opportunities):


Study diagram (Upload file):


Please briefly summarise if proposed collaborations are already being explored:

other NCRI CSGs or groups?


translational/laboratory groups?


international groups?


industry?



3. Please indicate areas which you would like to seek advice or collaboration:
Imaging area:

 PET MRI CT Other

Site-specific CSGs:

 Bladder Cancer Brain Tumour Breast Cancer Children’s Cancer/Leukaemia Colorectal Cancer Gynaecological Cancer Haematological Oncology Head & Neck Cancer Lung cancer Lymphoma Prostate Cancer Renal Cancer Sarcoma Skin Cancer Testis Cancer Upper GI Cancer

Confidential
This information is provided in confidence to the NCRI CSGs Secretariat for use in monitoring advisory group activity and facilitating cross-group collaboration. It is not for release to third parties outside the NCRI.

If you encounter any difficulties submitting your form, please contact us at
advisorygroups@ncri.org.uk