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“I really admire the Image Gently program and what you are trying to do for parents and children…It took me by complete shock when I found out that a barium enema even used radiation…This goes to show exactly how BIG the gap is between healthcare and parents with radiation.”  TB 12.15.18 


Image Gently Mission Statement Update 

The mission of the Image Gently Alliance is, through advocacy, to improve safe and effective imaging care of children worldwide.

Campaign Overview

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.

The Alliance is grateful for the unrestricted educational grant from GE Healthcare made in 2007.  The campaign does not accept corporate financial donations at this time.

Great News! 

The SPR has arranged for Image Gently donations to be made through their secure website system.  Support the Image Gently Campaign here!

2018 Butterfly Award Winner


2018 Butterfly Award
Priscilla Butler, MS, accepted the 2018 Butterfly Award at the 2018 RSNA in Chicago, Illinois on November 26, 2018.

To see previous Butterfly Awards....


6/4/2019 Optimizing Communication With Parents on Benefits and Radiation Risks in Pediatric Imaging

Nima Kasraie, PhD; David Jordan, PhD; Christopher Keup, MD; 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.

Key Words
Risk communicationperceptioncancerpediatric imagingiatrogenicparents

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

5/31/2019: IAEA's Radiation Protection of Patients Newsletter

5/17/2019: Impact of low dose settings on radiation exposure during pediatric fluoroscopic guided interventions

Moritz Wildgruber, Michael Köhler, Richard Brill, Holger Goessmann, Wibke Uller, René Müller-Wille, Walter A. Wohlgemuth

To evaluate the effects of lowering the detector entrance exposure in children undergoing interventional radiology procedures.

5/12/2019 Kimberly Applegate, MD, MS, FACR, FAAP presented perspectives from both the International Commission on Radiological Protection (ICRP) and the Image Gently Alliance at the 2019 Beebe Symposium

Attestation Certificates Now Available for Fluoroscopy

Image Gently now offers an attestation certificate for reading one of our selected articles or exhibits on fluoroscopy.

Read one or more fluoroscopy items from our checklist, and after completing it you will have the chance to personalize a certificate to demonstrate your awareness.

Read our attestation instructions and checklist for complete details.

4/23/2019: Computed tomography scanning in pediatric trauma: Opportunities for...



Recently, pediatric CT scanning protocols have reduced radiation exposure in children. Because evaluation with CT scan after trauma contributes to significant radiation exposure, we reviewed the CT scans in children at both initial presentation at a non-pediatric facility and subsequent transfer to a level I pediatric trauma center (PTC) to determine the number of scans, body area scanned, radiation dosage, and proportion of scans at each facility.


The trauma database was retrospectively reviewed for children aged 0 to 17 y initially evaluated for trauma at another facility and then transferred to our PTC for pediatric specialty care between January 2000 and December 2010.


4/16/2019: Choice of tube extremity for emission of the lowest radiation dose in...

To compare the dosage of radiation the thyroid and gonad glands receive in pediatric patients undergoing chest X-rays, in distinct positions, towards the goal of developing of an X-ray tube positioning protocol.

A randomized controlled clinical trial was carried out in the Pediatric Intensive Care Unit (PICU) at the Institute of Cardiology/University Foundation of Cardiology of Rio Grande do Sul, Brazil from June 2014 to September 2016. Patients were divided into two groups. One group was positioned with the thyroid gland facing the anode end of an X-ray tube, and in the other group the thyroid gland faced the cathode end. Radiographs were evaluated by five observers, following criteria recommended by the Commission of the European Communities (CEC).

Read more}

4/4/2019: Utilization of a Radiation Safety Time-Out Reduces Radiation Exposure During Electrophysiology Procedures

This study sought to determine whether a radiation safety time-out reduces radiation exposure in electrophysiology procedures.

Time-outs are integral to improving quality and safety. We hypothesized that a radiation safety time-out would reduce radiation exposure levels for patients and the health care team members.

The study was performed at the New York University Langone Health Electrophysiology Lab. Baseline data were collected for 6 months prior to the time-out. On implementation of the time-out, data were collected prospectively with analyses to be performed every 3 months. The primary endpoint was dose area product. The secondary endpoints included reference point dose, fluoroscopy time, use of additional shielding, and use of alternative imaging such as intracardiac and intravascular ultrasound.


Children's Book on CT

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....



Sister Initiatives