Segmed Project Feasibility - Data Requirements Form

Segmed Project Feasibility - Data Requirements Form
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Segmed Project Feasibility - Data Requirements

If you would prefer not to submit via a form, you can instead email Sales@Segmed.ai with your project requirements to initiate a feasibility study.
Name*

First NameLast Name
Company Name
Email*
example@example.com
Please write a short (1-2 sentences) summary of your project, including the intended use of the data*
For example: We are creating an algorithm to detect lung nodules on CT scans in clinical practice. The data will be used for validation study of our algorithm for FDA submission.

How many studies do you need?*
What body part(s) / anatomic coverage?*
X-rayCTMRMammographyUltrasoundEchocardiographyPET, PET/CT, or PET/MRFluorescenceOther
If you selected multiple imaging modalities above, do you require longitudinal view (e.g. X-ray followed by CT within the next 12 months)? If so, please describe your expectations.
With oral contrastWithout oral contrastWith IV contrastWithout IV contrastOther

What manufacturer(s) are required?*

If you selected "required" for any manufacturers above, please describe any distribution requirements below.
For example: approximately equal distribution of GE Siemens
Are there any requirements for Plane, Slice Thickness, Spatial Resolution, Reconstruction Kernel, or similar fields?*
Are there any requirements regarding the collection / data selection protocol?*
For example: cases must be sequentially selected, randomly selected, etc.

Rows	No requirements	Yes, there are requirements (see below)
Patient Age
Patient Sex
Patient Race/Ethnicity

🚧 We are migrating to a new system. Please go to the following link to access the current version of this form: