Imaging Gently: Practical Approach to Safe & High Quality CT in Children – Don Frush presents at PAHO Webinar Lectures on Quality
June 2018: IG’s Butler CRCPD Meritorious Service Award
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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.
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 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.
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...]
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....