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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 Campaigns and other efforts of the Image Gently Alliance rely on the generous donation of resources from the four founding organizations (Society for Pediatric Radiology, American College of Radiology, American Society for Radiologic Technologists, and the American Association of Physicists in Medicine), as well as all Alliance Organizations, and other supporters. The leadership of the Image Gently Alliance also gratefully acknowledges the value of industry partnerships: the sharing of time, talent and expertise committed to excellence in imaging of children, a foundation of the mission of the Alliance. These partnerships have afforded meetings and other Alliance activities, such as through an initial unrestricted educational grant from GE Healthcare made in 2007 at the inception of the Alliance.


The Image Gently Alliance acknowledges all previous contributions with gratitude, but does not accept commercial financial donations at this time. However, we look forward to continued partnership in sharing insights and vision towards the safe imaging of children everywhere. 

Great News! 

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

2019 Butterfly Award Winner


2019 Butterfly Award

Congratulations to the 2019 Butterfly award recipient: John Boone, PhD
“In recognition of his leadership in development of the SSDE, a CT dose index, to improve care of children”  
December 2, 2019 - Image Gently Alliance

To see previous Butterfly Awards....


11/25/2019: Statement: Improved Estimates of Radiation Dose During Pediatric Head CT Examinations

In 2011, the Size Specific Dose Estimate (SSDE) was developed by a Task Group of the American Association of Physicists in Medicine (AAPM). Their final report, Report No. 204 (1), provided more accurate estimates of the radiation dose to the trunk of patients of all sizes during CT examinations,

11/20/2019: Radiology efforts over past decade led to 20% drop in patient's radiation dose, report shows.

Radiology has undertaken many efforts to reduce patient exposure to radiation during imaging exams, and findings from a new report suggest those campaigns have made a significant impact.

11/12/2019: Endorsement Statement of the AAPM Gonadal Shielding Position

In Spring of 2019, the American Association of Physicists in Medicine (AAPM) released a position statement endorsing revising recommendations for routine use of patient gonadal and fetal shielding [1]. The Image Gently Alliance

10/31/2019: Radiation protection and standardization


X - Rays has become integral and indispensable part of health care diagnosis and intervention. Intervention procedures in Orthopedics surgery now mostly performed under image intensifiers (C-Arm) which involve the risks of occupational overexposure of radiation to the patients and health care personnel. The principles of radiation protection are helpful in keeping radiation exposure just adequate for diagnostic and intervention procedures. Regular surveillance of protective apparel is necessary for longevity of safety. It is responsibility of all OT personnel to know and implement radiation safety. Each situation involving X-ray radiation should include justification of the procedure, minimum radiation exposure just adequate for diagnostic and interventional procedures.

8/13/2019: Radiation dose to the paediatric undergoing diagnostic coronary angiography and percutaneous intervention 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. The authors 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. Read more...

8/5/2019: Radiation dose to the paediatric undergoing diagnostic coronary angiography and percutaneous intervention procedures

•Pediatric radiation dose is a critical issue and should be optimized.

•Radiation dose benchmark guideline should be available to achieve ALARA.

•Monitoring of radiation dose and awareness improvement among healthcare workers.

Successful diagnostic and clinical outcomes in use of interventional cardiac imaging procedures make them strong choices in dealing with cardiovascular disease. Interventional procedures in developing countries are now growing markedly, increasing with the availability of equipment and trained staff. Present study in Sudan has examined pediatric radiation doses during Diagnostic Coronary Angiography (DCA) and Percutaneous Intervention Procedures (PCI), identifying relationships leading to high values, in particular with patient characteristics and exposure parameters. Retrospective data analysis from DCA cases (n = 9) and PCI (n = 48) examined patient-based characteristics, exposure parameters and the Kerma Area Product (KAP). For DCA and PCI, the mean KAP and fluoroscopic time were Read more...

7/25/19: Simple preoperative radiation safety interventions significantly lower radiation doses during central venous line placement in children

The purpose of this study was to reduce radiation exposure during pediatric central venous line (CVL) placement by implementing a radiation safety process including a radiation safety briefing and a job-instruction model with a preradiation time-out.

Read more

7/3/19: Update: Image Gently and Nuclear Medicine at 10 Years

Nuclear medicine offers well-established and valuable clinical diagnostic instrumentation and techniques in several disciplines, including urology, neurology, orthopedics, and oncology (1). Although radiation exposure from nuclear medicine studies is on par with (and often lower than) that of other medical imaging procedures, it is still prudent to limit the amount of radiation exposure to the lowest amount possible without reducing its diagnostic capability. This is particularly relevant in children because  Read more

6/28/19: Radiation exposure during paediatric emergency CT: Time we took notice?

Concerns exist about radiation exposure during medical imaging. Comprehensive computerised tomography (CT) dose standards exist for adults, but are incomplete for children. We investigated paediatric CT radiation doses at a NHS Trust in order to define the extent of the risk.

CT dose indicators (CTDI) were recorded for all scans on paediatric patients from January – December 2011 and benchmarked against Read more

6/20/19: Effect of staff training on radiation dose in pediatric CT - European Journal of Radiology

Objective: To evaluate the efficacy of staff training on radiation doses applied in pediatric CT scans.

Methods: Pediatric patient doses from five CT scanners before (1426 scans) and after Read more

Letter from the Editor: Pediatric Imaging and Radiation Safety

Jannette Collins, MD, MEd, FCCP, FACR (Editor)

Before 2001, most pediatric imaging was conducted by use of the same or similar techniques used for adult imaging.1 In 2001, several investigators reported that this approach was not necessary and resulted in Read more

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 Read more

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. Read more

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....



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