Ferrum Health Account Setup

Step 1 of 2 – Facility Overview

Facility Details

Facility Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Point of Contact(Required)

First Last

Email(Required)

Customer Technology Overview

The following questions will help Imbio with installation planning and will ensure compatibility of the Imbio solution with the facility’s environment. Please answer each of the following, feel free to provide any attachments with this form if you believe they will be useful as well.

What type of PACS system(s) is used at your facility?(Required)

Please provide specific manufacturer and PACS version numbers.

What PACS viewer(s) are used?(Required)

Please provide specific manufacturer, viewer names, and version numbers.

What brand and model of CT scanners are used in your facility?(Required)

Specifically for Chest CT imaging.

Is this a lung cancer screening protocol (i.e. reduced dose)?(Required)

What reconstruction kernel will be used?(Required)

See the LDA user manual for recommendations.

Optional File Upload

Drop files here or

Max. file size: 50 MB.

Ferrum Health Account Setup

Installation Start-Up Form

Facility Details

Customer Technology Overview

Algorithm Selection

Algorithm Customization

Submit to Imbio