CACTIS is now only accepting electronic submissions.
For the applications that are Word files, please click on the appropriate link, fill in the form, save the file with your name and date (i.e., "Jones_08_15_2005.doc"), and thensend as an attachment to melissa.myers@uphs.upenn.edu.
Animal CT Research (90KB)
Research Application Form: Image Anonymization Account Request (68KB)
Request for Image De-identification (62KB)
Human CT Research (108KB)
Specimen/Phantom CT Research (87KB)
Approved IV Contrast Agent for CT Research Studies Request Form (12KB)
Pregnancy Test Documentation Form (12KB)
Human IV Contrast for CT Research Studies (114KB)
CT Patient Screening Questionnaire (121KB)
Radiology Outpatient Form (12KB)If there are any questions regarding the applications, please contact Melissa Myers at 215-349-5891 or melissa.myers@uphs.upenn.edu.
CACTIS meetings are held the third Wednesday of the month at 1PM. All submissions must be received no later than 12:00 PM the Friday before.