September 10, 2018: Decreasing Radiation Risks by Increasing Use of ultrasound in Pediatric Imaging
August 2018: in JACR: Image Gently(R) at 10 Years
August 21, 2018: Pediatric Emergencies: Imaging of Pediatric Head Trauma
August 11, 2018: Protocols for Pediatric CT: Converting Adult Protocols to Kids
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The mission of the Image Gently Alliance is, through advocacy, to improve safe and effective imaging care of children worldwide.
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2017 Butterfly Award
Dr. S. Ted Treves and Dr. Fred Fahey accepted the 2017 Butterfly Award on behalf of the Image Gently Nuclear Medicine Working Group at the 2017 Image Gently Alliance Meeting in Chicago, Illinois on November 27, 2017.
To see previous Butterfly Awards....
The author was presenting a sonogram (Fig. 1) at a multidisciplinary conference and he paused for questions. The pediatric surgeon said, ‘‘I understand what I am seeing.’’ The author was puzzled by the lack of sarcasm but the surgeon was quick to elaborate, ‘‘I see the anatomy; I know what to do.’’
Pediatric Emergencies: Imaging of Pediatric Head Trauma
David J.Mulvihill, MD; Sachin Jhawar, MD; John B.Kostis, MD; SharadGoyal, MD
Environmental factors have long been thought to play a role in the development of adult and pediatric malignancies. Studies involving long-term survivors of the atomic bombing of Hiroshima and Nagasaki as well as studies involving nuclear and radiation workers have provided compelling evidence correlating ionizing radiation with carcinogenesis 1, 2. Furthermore, it is estimated that only 5% of pediatric cancers are directly attributable to an inherited genetic cause (3), and ionizing radiation has been shown to be causal in a large number of human malignancies (4). At times veiled within the context of health-care delivery, exposure to ionizing radiation from diagnostic medical imaging is increasing in the United States. In a report by the National Council on Radiation Protection and Measurements in 2009, it was stated that “in 2006 Americans were exposed to more than seven times as much ionizing radiation from medical procedures as was the case in the early 1980s” (5). The pediatric population is certainly not immune to the rising radiation exposure from medical imaging. For example, the increased use of computed tomography (CT) scanners in the diagnosis of pediatric conditions has grown steadily over the past decade (6), and according to some publications
Kushaljit S.Sodhi, SatheeshKrishna, Akshay K.Saxena, AninditaSinha, NiranjanKhandelwal, Edward Y.Lee
Received 10 April 2015, Revised 22 May 2015, Accepted 26 May 2015, Available online 27 May 2015.
• Practice of ALARA (As Low As Reasonably Achievable) principle in the developed world is currently well established. However, there is striking lack of published data regarding such experience in the developing countries. Therefore, the goal of this study is to prospectively evaluate CT request forms to assess how many children could be saved from harmful radiation exposure if ‘Justification’ and ‘Optimization’ principles of ALARA are applied before obtaining CT imaging in a developing country.
• A consecutive 1302 CT request forms over a six month study period (May 16, 2013 to November 15, 2013) in a tertiary pediatric children’s hospital in India were prospectively reviewed by two pediatric radiologists before obtaining CT imaging. First, ‘Justification’ of CT was evaluated and then ‘Optimization’ was applied for evaluation of appropriateness of the requested CT studies. The number (and percentage) of CT studies that was avoided by applying ‘Justification’ and ‘Optimization’ principle of ALARA were calculated. The difference in number of declined and optimized CT requests between CT requests from inpatient and outpatient departments was compared using Chi-Square test.
By: Sotiria Triantopoulou an dVerginia Tsapaki
• The diseases associated with multiple CT examinations in children are identified.
• Children with malignancy are exposed to high radiation doses from CT examinations.
• Children with malignancies have an increased risk for radiation-induced cancer.
• The necessity of minimizing the CT radiation dose of these patients is emphasized.
The purpose of this study was to identify the main pathologies for which CT is applied on pediatric patients and the related radiation doses as reported in the literature in order to facilitate justification and CT optimization.
A critical analysis of a literature review was performed. Different
Nima Kasraie, PhDa, David Jordan, PhDb, Christopher Keup, MDa, Sjirk Westra, MD
Effective radiation risk communication is a core competency for radiology care providers and can prevent and resolve potential conflicts while helping achieve effective public health safeguards. The authors present a synopsis of the challenges to holding such dialogue and review published methods for strengthening and maintaining this discourse. Twelve strategies are discussed in this article that can help alleviate concerns about the iatrogenic risk associated with medical imaging using radiation exposure.
Despite improvements in protocol optimization and scanner technology to reduce exposure to children, there remains public concern about iatrogenic effects of radiation exposure. If patients or their parents are fearful of radiation exposure and have concerns reinforced by inaccurate information, there is risk for compromised patient care as access or image quality is diminished through efforts to reduce radiation dose 1, 2, 3, 4. Worse, patients may refuse appropriate diagnostic imaging tests, leading to suboptimal quality of care 3, 5.
Effective communication of benefits and risks from diagnostic imaging of adult and pediatric patients alike remains a serious concern 6, 7. Without effective dialogue between patients or their guardians and imaging professionals, [Read more…]
Image Gently announces the addition of the Japanese College of Radiology (JCR) to the Alliance roster! Founded in 1973, JCR has 5,616 members.
A children’s book entitled, Learning about X-rays with Lula and Ethan is based on one young child, Ethan, getting a head CT after having a minor playground injury. Read more here....