May 10: Japanese College of Radiology join the Image Gently Alliance
May 3: Management Decisions for Adolescent Idiopathic Scoliosis Significantly Affect Patient Radiation Exposure
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The mission of the Image Gently Alliance is, through advocacy, to improve safe and effective imaging care of children worldwide.
The Image Gently Campaign and the Image Gently Alliance rely on the generous donations of resources from the founding organizations (Society for Pediatric Radiology, American College of Radiology, American Society for Radiologic Technologists, and the American Association of Physicists in Medicine), all Alliance Organizations, supporters, and Cincinnati Children's Hospital Medical Center. The leadership gratefully acknowledges the time, talent and expertise from representatives of GE Healthcare, Philips Healthcare, Toshiba America, and Siemens Medical Systems, who are committed to improving healthcare for children through activities related to this campaign.
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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.
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....
Image Gently announces the addition of the Japanese College of Radiology (JCR) to the Alliance roster! Founded in 1973, JCR has 5,616 members.
Adolescent idiopathic scoliosis (AIS) patients treated before the 1990s have a 1% to 2% increased lifetime risk of developing breast and thyroid cancer as a result of ionizing radiation from plain radiographs. Although present plain radiographic techniques have been able to reduce some of the radiation exposure, modern treatment algorithms for scoliosis often include computed tomography (CT) and intraoperative fluoroscopy. The exact magnitude of exposure to ionizing radiation in adolescents during modern scoliosis treatment is therefore unclear.
To determine the difference in radiation exposures in patients undergoing various forms of treatment for AIS.
Patients aged 9 to 18 years with a diagnosis of AIS, followed and/or treated with nonoperative or operative management for a minimum of 2 years.
Number of radiographs and total radiation exposure calculated.
The charts and radiographs of patients managed for AIS at a single institution between September 2007 and January 2012 were reviewed. Patients were divided into three groups: operative group, braced group, and observation group. Patient demographics, Cobb angles, and curve types were recorded. The number of radiographs per year that each patient received and the total radiation dose were recorded. The plain radiographic radiation exposure was then combined with the direct exposure recording from ancillary tests, such as fluoroscopy and CT, and a radiation exposure rate was calculated (mrad/y). A single-factor analysis of variance (α=0.01) with a Tukey honest significant difference post hoc analysis was used to test significance between groups.
Two hundred sixty-seven patients were evaluated: 86 operative, 80 brace, and 101 observation. All groups had similar demographics and curve type distribution. The mean initial
A nationwide study of more than 40,000 children evaluated in hospital emergency departments for head trauma found that if children had only loss of consciousness, and no other signs or symptoms related to the head trauma, they are very unlikely to have sustained serious brain injuries. Children who have only isolated loss of consciousness after head trauma do not routinely require computed tomography (CT) scans of the head, reported researchers from UC Davis Health System and Boston Children’s Hospital.
Authors: Pamela T. Johnson, MD and Elliot K. Fishman, MD
The pillars of excellence in body CT are guided by traditional goals of quality (protocol optimization and interpretative accuracy) and safety (radiation modulation and avoiding contrast-induced nephropathy). As medicine transitions to high-value practice, excellence has evolved into providing the most diagnostically accurate information possible from each CT examination while protecting patients from unnecessary scans, radiation, and costs. Body CT is a leading source of patient radiation exposure in medical imaging [1, 2], and the Image Wisely Campaign encourages all radiology professionals to safeguard patients by pledging to optimize radiation use 3. In body CT, radiation dose is tempered by limiting the number of phases performed during each CT and modulating tube current and peak kilovoltage [4, 5]. The ACR recently released their second slate of [Read more...]
Children with complex diseases, such as congenital and acquired heart disease, frequently have complicated medical needs, sometimes requiring multiple surgeries and experiencing long hospitalizations. As a result, they are often exposed to many procedures involving ionizing radiation. Although the procedures are important for making an accurate diagnosis and planning the most effective course of treatment, ionizing radiation itself is potentially harmful and can lead to an increased risk of cancer over a patient’s... [Read more]
Children with congenital or acquired heart disease can be exposed to relatively high lifetime cumulative doses of ionizing radiation from necessary medical imaging procedures including radiography, fluoroscopic procedures including diagnostic and interventional cardiac catheterizations, electrophysiology examinations, cardiac computed tomography (CT) studies, and nuclear cardiology examinations. Despite the clinical necessity of these imaging studies, the related ionizing radiation exposure could pose an increased lifetime attributable cancer risk. The Image Gently “Have-A-Heart” campaign is promoting the appropriate use of medical imaging studies in children with congenital or acquired heart disease while minimizing radiation exposure. The focus of this manuscript is to provide a comprehensive review of radiation dose management and CT performance in children with congenital or acquired heart disease. [Read more...]
This technical innovation describes the development of a novel device to aid technologists in reducing exposure variation and repeat imaging in computed and digital radiography. The device consists of... [Read more]
Children’s (Pediatric) CT (Computed Tomography)
Pediatric computed tomography (CT) is a fast, painless exam that uses special x-ray equipment to create detailed images of your child’s internal organs, bones, soft tissues and blood vessels. It may be used to help diagnose abdominal pain or evaluate for injury after trauma.
Tell your doctor about... [Read more]
Caffey’s landmark article of 1946 noted an association between healing long-bone fractures and chronic subdural hematomas in infancy, and it was the first to [...] Read more
A proposed framework balances quality and safety of computed tomography protocols across a range of body sizes in pediatric populations. Read about it here.
Two new pediatric CT protocols have been created by the American Association of Physicists in Medicine (AAPM) Alliance for Quality Computed Tomography. There are now a total of three pediatric exam protocols available: routine head, routine chest, and routine Abdomen/pelvis. These protools account for the spectrum of pediatric patient size (from neonatal to 18yrs), and the protocols are specified for 37 common CT makes and models.
Find the protocols here: http://www.aapm.org/pubs/CTProtocols/