Take the Image Gently® pledge!


  Pledge to Image Gently!®

For group certificates, please click here.

“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....


3/29/2020: Patients in Focus: The IAEA’s First Training in Safety Culture in Medicine

As long as humans are involved, errors harming patients during medical radiation procedures such as X-Ray or radiotherapy could happen. So how can the IAEA help?

A new IAEA training offers medical professionals to strengthen patterns of good behaviour and attitudes.

3/26/2020: Organ and effective doses detriment to paediatric patients undergoing multiple interventional cardiology procedures


The aims of the present study were to present the frequency of multiple interventional cardiac procedures for a certain group of patients obtained at one of the largest paediatric hospitals in Chile. In addition it has been analysed cumulative kerma area product (KAP) and cumulative air kerma (CAK), and calculated organ doses for the patient groups undergoing 2, 3 and ≥ 4 procedures, using Monte Carlo software. Effective doses were also estimated for epidemiological purposes and to permit comparison with other imaging procedures.

The sample used corresponds to the last 9 years and refers to a total of 1521 paediatric patients and 1824 interventional cardiac procedures. The results

3/21/2020: Does software optimization influence the radiologists' perception in low dose paediatric pelvic examinations? in the International Journal of Diagnostic Imaging and Radiation Therapy


•Multi-frequency image processing can influence an observer's perception of image quality.
•Noise reduction was found to be the only processing parameter that could improve image quality.
•Low dose femur DR examinations can be used diagnostically when software optimization is applied.

3/17/2020: From European Journal of Radiology: Clinical application of radiation dose reduction at abdominal CT


•Radiation exposure at CT examinations must be as low as reasonably achievable.
•Low X-ray tube voltage- and low X-ray tube current settings are used to reduce the radiation dose.
•Automatic exposure control optimizes the radiation dose, and iterative reconstruction reduces the images noise.
•To reduce the radiation dose at routine CT, the image noise can be reduced with techniques such as iterative reconstruction.
•Since many of advanced imaging involve higher radiation exposure, radiation reduction techniques must be applied.

3/4/2020: Dual energy head CT to maintain image quality while reducing dose in pediatric patients



The aim of this study was to use dual energy CT technology to maintain or improve image quality in pediatric head CT while simultaneously reducing radiation dose.

2/31/2020: Calculating organ and effective doses in paediatric interventional cardiac radiology based on DICOM structured reports – Is detailed examination data critical to dose estimates?


*Doses calculated using data from radiation dose structured reports (RDSR)   *No differences in average dose, estimated with RDSR- or a simplified method.   *Conversion coefficients presented for organ doses in paediatric catherization

2/17/2020: Patient safety in medical imaging: A joint paper of the European Society of Radiology (ESR) and the European Federation of Radiographer Societies (EFRS)


The fundamental professional roles of radiographers and radiologists are focused on providing benefit to patients with our skills, while maintaining their safety at all times. There are numerous patient safety issues in radiology which must be considered. These encompass: protection from direct harm arising from the techniques and technologies we use; ensuring physical and psychological well-being of patients while

2/10/2020: Welcome Quentin T. Moore, newest Steering Committee Member

View Dr. Quentin's bio here.

2/5/2020: Dr. Omolola Atalabi presents on behalf of Image Gently at the Pediatric Radiology Radiation Protection and Referral Guidelines Workshop held in Johannesburg, South Africa - see her report!

1/24/2020: Image Gently and “Yield the Shield” Effort at Education

Letter to the Editor of New York Times 

We are submitting this letter in support of the factual and well-written article1 (That Lead Apron in the X-Ray Room? You May Not Need It) that appeared on 1/14/20. Medical x-rays

1/14/2020: From the NYT: That Lead Apron in the X-Ray Room? You May Not Need It

A number of radiology organizations are trying to end the decades-old practice of shielding patients from radiation with lead aprons. [Read More]

1/14/2020: Call for Translators of Image Gently Content

Over the past few years, the Image Gently Alliance has developed 8 posters representing various campaigns, which have been presented at the European Congress of Radiology and a variety of other venues.  Originally developed in English, these posters have presented various aspects of pediatric imaging upon which Image Gently has provided guidance and information.  Through this advocacy, the Alliance mission is to improve safe and effective imaging care of children worldwide. Thus, we are putting out this call for translations




News Archive

See archived news here.

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