MCPTI Animal Imaging Form Principal Investigator Information Principal Investigator (PI) AUP Email Address Radiation Permit Number Faculty Room Number Primary Contact Information Contact Person Room Number Phone Number Extension Lab Extension Email Address General Procedures All experiments will be managed and coordinated by MCPTI; however, one representative from the research team must be present for the duration of every study. The research team is responsible for ensuring that the animals to be studied are ready the day of the experiment and that they have an approved AUP and Amendment for animal imaging. Once an experiment is scheduled, the following procedures will be followed: Animals will be transported to the Imaging Facility according to SOP GEN774. Only the last door in the back corridor (1V 1-19) can be used to transport animals to the Imaging Facility. Do NOT use the door to the office area (1V 7-17). Animals will be anesthetized for imaging either by isoflurane inhalation, or by IP Ketamine/Xylazine (SOP GEN727, GEN457). The PI is for providing any anesthetic agents used during imaging. All animal handling procedures, including injections, will be performed in the biosafety cabinet (BSC). Prior to imaging, cages will be moved into the BSC, where the animal will be anesthetized and placed into a bio-containment cylinder. Upon completion of imaging, the animal will be returned to the BSC, removed from the bio-containment cylinder and returned to its cage. The images are acquired over a time period of up to 4 hours but typically less than 1 hour. The animal will remain anesthetized during the entire procedure and will not be left unattended by the research team member. The administration of the radiotracer will be performed by a member of MCPTI or by a member of the research team who has undergone radiation safety training and whose PI holds a valid radiation permit for the isotope being administered. The administration of all radiotracers will be performed in areas/rooms commissioned for radioactive work. For ACUTE studies: Upon completion of the experiment, the animal will be euthanized, as per the method described in the PI’s AUP, and the carcass returned to CAF by a member of MCPTI, and stored in the appropriate refrigerator or freezer for decay and disposal. Cages will be cleared according to Health Physics regulations before being sent to the Wash Area for processing. For CHRONIC studies: At the end of the study, animals that have been administered radioactivity will be returned to the CAF and placed in the appropriate room for decay. It is the researcher team member’s responsibility to submit a short-term RFS for housing radioactive animals that are returned to the CAF. The cages will be marked as radioactive, and Health Physics or a member of MCPTI will monitor and verify that the animals are clear of any radioactivity before they can be moved to any other rooms in the CAF. Page 1 of 4 Non-radioactive animals that have only undergone CT imaging can be returned to their original housing location, subject to the next bullet point. If CHRONIC studies are to be performed on animals originating from the AX/GN, Stem Cell or Barrier Units, alternate housing arrangements must be made with CAF staff prior to commencing the study. Once an animal is removed from these Units, it cannot be returned to those areas. If a member of the research group needs to handle the radioactive animals and/or perform any experiments before the animals have been cleared, he/she must have radiation safety training as well as possess a valid radiation permit to use the isotope in question. If these requirements are met, the facility will fill out a Health Physics “Request for Transfer of Radioactive Material” prior to the research group commencing their experiment. Records of animal use and anesthesia will be kept in the facility. Control of Pain It is expected that the tracer will exert no pharmacologic effect; therefore, no pain will be imparted to the animals. If the animal model is likely to experience discomfort, specify the steps to address the issue in the Imaging Studies Details section, below. Radiation Safety The levels of radioactive materials to be used are far less than the amounts give to human patients undergoing clinical procedures. Nonetheless, all waste will be allowed to decay in an appropriate container, refrigerator, or freezer prior to disposal. People administering the compounds will wear gloves, laboratory coats, radiation badges and finger dosimeters. All people involved in animal care and handling will have radiation safety training and the appropriate animal training. Animals Species: Strain: Total Number to be imaged: Current Housing Location: Describe the animal model, and any treatments or procedures the animals have undergone prior to imaging. Safety Precautions Animals are biohazardous (Level 2 or Level 3). BUP No. Animals are chemically hazardous. Other safety precautions required. Animals require special handling or housing procedures. Specify the nature of any hazards, safety precautions required, and any handling or housing requirements. Aim of Imaging Study Provide a brief lay description of the proposed imaging study. Mark any boxes that apply to the proposed imaging studies CHRONIC Imaging Study ACUTE Imaging Study Page 2 of 4 Frequency of Imaging Euthanasia Method Duration of Study Performed By Post Imaging Housing Returned to original housing If other, specify This is the first time this particular type of imaging study has been conducted by our group. We have done previous imaging experiments of this type. Imaging Study Details Describe proposed imaging study below. Please specify: Whole body or specific region to be imaged Type of anesthetic to be used. Type of radiotracer or contrast agent. Imaging procedures: o Type of images to be acquired. o Number of projections for CT scans o Duration of PET or SPECT scans o Timing of scans pre- and/or post-radiotracer/contrast agent administration Any other logistical considerations. Radiotracers Used Radiotracer Source Route of Administration Dose Administered Volume Administered Frequency of Administration Administration/Injection of radiotracer: Performed on an anesthetized animal Performed on a restrained animal Does the AUP approve of the use of restraint? Done by a member of the MCPTI team Done by a member of the research team Name: Principle Investigator’s Signature Yes No Radiation Permit Number: Date Page 3 of 4 Return to AREB by: email PDF to bulger@mcmaster.ca, or mail to HSC-1B7 AREB Office Use Only Major Amendment Entered in Database Amendment # Species - Total per Year Originally approved animal numbers Reviewer’s Comments University Veterinarian’s Signature Date AREB Chair’s Signature Date Page 4 of 4