Reader Study Submission

Thank you for your interest in being a reader for ACR Image Metrix®. Please fill out the form below to complete the submission.

 

Radiologist's name:  
Practice name: (if applicable)  
Point of contact: (if other than radiologist)  
Address 1:  
Address 2:  
City/Town:  
State:  
Zip/Postal code:  
Country:  
Email address:  
Phone number:  
     
Select the box for all organ systems and modalities that apply: 
     
Organ system: General radiology
Organ system: Genitourinary
Organ system: Gastrointestinal
Organ system: Head and neck
Organ system: Vascular
Organ system: Musculoskeletal
Modality: CT
Modality: CTC
Modality: DCE-MRI
Modality: MRA
Modality: FDG PET
Modality: SPECT/Other nuclear imaging
Modality: Plain radiography
Modality: Interventional
Response criteria: RECIST
Response criteria: WHO
Response criteria: Other
Organ system: Breast
Organ system: Gynecology
   
Organ system: CNS
Organ system: Cardiac
Organ system: Pulmonary
Organ system: Other
(please specify: )
Modality: CTA
Modality: Conventional MRI
Modality: MRS/MRSI
Modality: Other advanced MR techniques
(please specify: )
Modality:Other PET nuclides and advanced PET imaging
(please specify: )
Modality: Ultrasound
Modality: DEXA
Modality: Other
(please specify: )
Response criteria: RECIST
Response criteria: PERCIST
Response criteria: RANO
   
   
       
Work at home institution    
Willing to travel to Philadelphia    
       
Comments: