Welcome to the AI Test Drive Challenge for radiologists, sponsored by CureMetrix and Ambra Health. Complete the following form no later than October 20, 2020 to gain hands-on experience, test your skills, and learn how AI can support your mammography practice. Once registered, you will receive an email to let you know when the Test Drive opens. Key Dates Sign-Up Deadline: October 20, 2020 Contest Dates: October 21 – November 2, 2020 (Email distributed during this period) Winners Announced: At RSNA 2020 Virtual November 29 – December 5, 2020 Enter Now Name* First Last Email* Enter Email Confirm Email Phone*Address (Required to Ship Prize)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Credential*SelectMDPhDOtherWhich Best Describes your Organization?*SelectAcademic Medical CenterCRO & Core LabHealthcare ITHealth SystemHIEHospitalImaging/Radiology Provider/ClinicMedical DeviceMedical Group/PracticePACSPharma & BiotechSolution Provider/OtherOtherRadiology Specialty*SelectAbdominal RadiologyBreast MammographyCardiac ImagingMusculoskeletalNeuroradiologyNuclear MedicineOncological RadiologyPediatric RadiologyProstate RadiologyThoracicUltrasound radiologyOtherYears in Practice*Select0-55-1010-1515-2020-3030+Mammograms Read Per Year*Select1-1,0001,000-5,0005,000-10,00010,000-15,00015,000+Primary Company/Institution*Job Title*Contest Username (This is your username which may be revealed)*Contest Password*REQUIREMENTS: Minimum 8 characters long, must contain at least two numbers and two letters.Consent* I agree to the Contest Terms and ConditionsBy participating Test Drive entrants and participants accept and agree (1) to be bound by all the rules, limitations and restrictions set forth herein (2) that their entered “Username” and associated “Test Drive” event results may be disclosed to the public and used by the news media and may otherwise be used by CureMetrix and Ambra Health for research, publicity, and marketing purposes and in lists of prize winners to be published in both digital and print media and announced on the CureMetrix and Ambra Health websites, in email, blogs and any other marketing channel. By participating this event, each participant releases CureMetrix and Ambra Health and their directors, officers, employees and agents from any and all liability for injuries, losses or damages of any kind caused by participating or caused by the winner’s acceptance or use of any prize. In addition: -To be eligible to receive a prize from participating in the “Test Drive” event, participant must be a licensed radiologist. -There is no purchase required to participate and participants are registering voluntarily. -Only one registration per person. Only one prize award per person. -Test Drive participants must complete all registration forms and complete Test Drive during the designated Test -Drive period to be qualified to be entered into the random drawing. -Award recipients are responsible to report such gains in accordance with their state, federal and country requirements. -The data gathered from the Test Drive contest may be used for research and development efforts for the FDA-cleared cmTriage™, for cmAssist®, or other products. cmAssist is currently an investigational device, limited by federal U.S. law to investigational use only and not available commercially. -All data collected is owned by CureMetrix and Ambra Health with exclusive, worldwide, perpetual use for marketing, research or any purpose. Participants agree to be contacted by CureMetrix and Ambra Health as a result of registering for this event. Data will not be distributed or sold to any other third-parties that is owned by CureMetrix or Ambra Health. -CureMetrix and Ambra Health are not responsible for technical issues related to the Test Drive event. Unsuccessful or incomplete submissions due to either user error or technical error will be voided with no opportunity to resubmit. Employees, family members, or agents of CureMetrix and (Ambra Health) are not eligible to qualify for any awards related to Test Drive. -All data and images used in the Test Drive have been retrospectively collected, anonymized and deidentified of PHI prior to releasing the Test Drive. -Results and/or interpretations of the Test Drive cases will not be used in patient care or treatment. -CureMetrix and Ambra Health reserve the right to terminate the event at any time for any reason without recourse or liability.