GeoMx sample submission form

Experimenter Name *

Experimenter Email *

PI or Lab Name *

Institution Name *

Speedtype (if UMass Chan Medical School)

Please select your GeoMx run type: Test stain Experiment

Tissue Type (mouse brain, human skin, etc.) *

Tissue Preservation Method * FFPE Fresh Frozen Fixed Frozen

Assay Type * WTA (Whole Transcriptome Assay) CTA (Cancer Transcriptome Assay) Protein (NGS Readout) Protein (nCounter Readout)

If running a protein assay, specify which protein core will be used.

If running a protein assay, list which modules will be used with your core (i.e. Module 1, Module 2, Module 3, etc.)

Optional Custom Spike In? * Yes No

Please enter details about your spike in.

Number of Slides *

Slide Labels (i.e. Slide 1, Slide 2, Slide 3) *

Number of Samples per Slide *

Sample Storage Temperature * Room Temperature 4°C -20°C

Antibody Names (ex: antibody 1, antibody 2, antibody 3) *

Antibody lot numbers (ex: antibody 1: number 1, antibody 2: number 2, antibody 3: number 3) *

Antibody catalogue numbers (ex: antibody 1: number 1, antibody 2: number 2, antibody 3: number 3) *

Antibody Storage Temperature * Room Temperature 4°C -20°C

After imaging and collection, will your samples be sequenced by the UMass Chan Deep Sequencing Core Labs (DSCL)? * Yes No

Please describe your project goals in a few sentences. *

If you will be comparing these images to images previously acquired in the SCOPE, please enter the date and file name of the previous scans. This will allow us to use the same image settings.

How would you like your data transferred? (i.e. DropBox, hard drive you would supply, etc.) *

Note any other important information about your project and/or samples here.

FOR EXTERNAL USERS ONLY: By clicking this button, I confirm that I have an approved Imaging Request Form (formerly Biosafety Form) on file with the SCOPE for this sample type. The Imaging Request Form can be downloaded from the Forms and Resources page on the SCOPE website (https://www.umassmed.edu/scope/forms-and-resources/) Yes

The SCOPE images samples as received. We will work with users to obtain the best images possible given the submitted sample quality. Dirt, fibers, air bubbles, non-flat tissue, and other sample quality issues will result in poor images. By using the SCOPE imaging service, users agree to pay all imaging fees, regardless of resulting image quality. * I understand that my image quality depends upon the quality of my samples. I agree to pay the SCOPE imaging fees for this service.

NanoString GeoMx sample submission form