Submission Form

Submission Form
If you are not doing in-vivo studies please enter N/A
Type of compound
Disease of interest
Do you have in-vivo, in-vitro or ex-vivo samples?
Please enter the type AND sample size of your biological system. If in-vivo indicate animal type and strain (example: mouse, balb-C, n=6). If in-vitro indicate cell line (example: HeLA in 96 well plate, n=2). If ex-vivo indicate tissue type or device type (example: excised mouse brains, n=10)
Study type
Type of service
Type of testing
Will you need imaging?
Imaging modalities (Please select all that apply)
Example: “abdominal area”, “right flank”, “skull”
Will you be using a contrast agent or imaging label?
If you haven’t selected any imaging label or contrast agent and would like us to suggest one please indicate so here.
Have you determined cell toxicity?
Tumor measurements *
Is this a study with multiple timepoints?

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