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Instructions for Submission of Radiology Cost Estimate FormRadiology Cost Estimate RequestThere are two versions of the Radiology Cost Estimate request form:If the study has Standard of Care (SOC) radiological procedures, for an indication for which the radiological procedure is FDA approved, please complete the word document titled “Radiology Cost Estimate Request Form”. This form is utilized for SOC procedures performed in NYP Radiology (Multiple locations at NYPH) and CUMC Radiology (MRI Center at Neurology Institute Basement, and the PET Center).Instructions for the word document: To Edit form, go to the “View” tab, then select “Edit” Complete the entire form and submit form to: radiology-research@ and radiology-research@cumc.columbia.edu. Provide a copy of protocol, research plan and imaging manual with this submission. Identify the protocol page numbers pertaining to the Radiology procedures If the study requires radiological procedures for an indication other than for which there is FDA approval, purely for research purposes, or requires the use of an experimental tracer, please complete the excel document titled “RADIOLOGY Cost Estimate Form _AOT”Instructions for the excel document: Complete Intake and Cost Estimate tabs of the form and submit the form to: rj2002@cumc.columbia.edu & ksi2101@cumc.columbia.eduProvide a copy of protocol, research plan and imaging manual with this submission. Identify the protocol page numbers pertaining to the Radiology procedures.The Radiology Team will then review the protocol and submission with the appropriate Technical Directors and email back the excel document with Radiology costs. The Study team will be requested to review the Intake and Cost Estimate tabs with the PI and Dept. Administrator, both of whom will need to sign the Intake and Cost Estimate tabs. The scanned form should be sent back to the Radiology personnel, along with the Radiology Budget and justification for review.For NIH / Foundation studies that require RASCAL-PT approval from RadiologyPlease allow sufficient time for review of the cost estimate form and documentsAt the time of Cost Estimate submission, and Initial Budget review, please submit the cost estimate form for review as above. Once the cost estimate has been finalized, the Radiology budget and justification will need to be sent to the Radiology personnel that finalized the cost estimate. You will also need to add Radiology Department approvers onto your RASCAL-PT:for CUMC Radiology Dept. approval - please add Rae Vagg for NYP Radiology Dept. approval – please add Kate Spaziani Prior to the start of the study:When funding is approved, approximately one month prior to first subject scan, please contact the appropriate Technical Directors/ contacts of the Radiological Centers for a Start-up meeting with the following information:IRB #, PI name, Protocol, Imaging guidelines or manual, IRB approval, JRSC packet and approval, chart stringReview of the imaging guidelines and protocol by the Research protocols have to be built into the scanner by the Radiologist. Please note:A cost estimate when finalized is only valid for one Sponsor / Grant. In the event there is a change in Sponsor, funding source, or grant submission, the Cost Estimate will have to be re-submitted and finalized with the Dept. of Radiology. The cost estimate is only valid for the procedures to be done as per the protocol provided for review at the time of the CER request. A change in protocol would require an amended cost estimate. ................
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