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[DOC File]Consent of an Adult to Be in a Research Study
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Patients undergoing MRI may experience some discomfort from the lying on the hard scanning table. The noise of the MRI machine itself could make you feel anxious or uncomfortable. Claustrophobia (fear of being trapped in an enclosed place) may occur when undergoing this procedure (as it requires placing the head and upper body into a small space
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[DOCX File]Patient Name
https://info.5y1.org/claustrophobia-in-mri-treatment_1_102935.html
: Certain implants, devices, or objects may prevent you from approaching the MRI machine. Before entering the scanning room, please indicate if you do or do not have any of the items listed below and sign your name. Feel free to ask the MRI personnel for clarification.
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[DOC File]UNIVERSIY OF UTAH, SALT LAKE CITY
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Certain individuals feel intolerable claustrophobia during the MRI procedure. Claustrophobia is a feeling of not being comfortable within an enclosed space. If you think that you will begin to or (at any time during the exam) are beginning to experience this uncomfortable or scared feeling from being within the enclosed space of the MR machine, you will have other choices available.
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[DOC File]Your Name:____________________________ Age____Weight____ lbs
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SOME PEOPLE CANNOT HAVE AN MRI EXAM, THEY CANNOT GO NEAR THE MRI SCANNER. Do you have (or ever had) any of the following? Y N A medical device in your body such as a pacemaker. Y N Surgical aneurysm clip in the brain. Y N Metal fragments (or rust) in the eye. Y N Have you ever worked in a machine shop or similar environment where you may
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[DOC File]MRI Informed Consent DRAFT - Harvard University
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A MRI scan is not uncomfortable but if you are prone to claustrophobia (fear of enclosed spaces) you should notify the researcher in charge of the scan. You can expect to hear a loud knocking sound during the imaging. Earplugs will be provided to help dim the sound. It is important that you remain as still as possible during the study.
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[DOC File]UCLA CONSENT FORM STANDARDS
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MRI scanning is painless but you might experience discomfort in the machine. In particular, loud beeping and hammering noises occur during the study when the scanner is collecting measurements. You also may be bothered by feelings of claustrophobia when placed inside the MRI…
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[DOC File]MRI Informed Consent DRAFT
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Claustrophobia (fear of enclosed places) Body piercing or tattoos. FOR WOMEN: Although the majority of data suggests that MRI scans are perfectly safe for embryos or fetuses, there is still much that remains unknown. For this reason, we believe that it is safer not to allow anyone who suspects they might be pregnant to participate in MRI scanning.
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[DOC File]MRI - PATIENT INFORMATION SHEET
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WARNING: Certain implants, devices, or objects may be hazardous to you and/or may interfere with the MR procedure (i.e., MRI, MR angiography, functional MRI, MR spectroscopy). Do not enter the MR system room or MR environment if you have any question or concern regarding an …
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[DOC File]UT Health San Antonio
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Claustrophobia (MRI Scan and CT Scan) None Serious Rare These risks are expected to occur in less than 5 subjects out of 100 Allergic reaction to contrast (MRI Scan and CT Scan) Rare risk of developing a new cancer from standard care interval radiation used in this study.
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[DOC File]CONSENT FORM TEMPLATE - CMRR
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Claustrophobia: The scanner is a long narrow tube that may cause some people to feel claustrophobic. ... In the event that this research activity results in an injury, treatment will be available, including first aid, emergency treatment and follow-up care as needed. Care for such injuries will be billed in the ordinary manner, to you or your ...
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Claustrophobia in mri treatment