News | September 18, 2012

Image Gently Initiative Promotes Radiation Protection in Pediatric X-Rays

Image Gently X-ray Systems Computed Radiology Digital Radiology

September 18, 2012 — The new Image Gently campaign's “Back to Basics” initiative has developed online teaching materials, checklists and practice quality improvement projects to help providers strengthen radiation protection when performing X-ray examinations on children, particularly as technology shifts from standard screen-film X-ray to digital X-ray imaging. The campaign emphasizes the need for a standardized approach by measuring patient body size and developing technique charts. This is particularly important as radiologic technologists use the different technologies in computed and direct radiography.

“Digital radiology has brought many improvements to imaging. However, some of the technical factors and processes used for digital imaging differ from those used in screen-film radiology. If not accounted for, these differences could result in patients receiving a higher radiation dose than otherwise necessary. This initiative seeks to make radiology medical professionals aware of the differences and how to account for them. Modern radiation reduction techniques include a return to simple techniques, such as collimation, that allow children to consistently get low-dose exams,” said Susan D. John, M.D., FACR, co-chair of the Back to Basics campaign committee.

“Children are more likely to receive X-rays than any other type of imaging exam. With the large number of manufacturers of digital radiography equipment, it is critical that radiologists, radiologic technologists and medical physicists understand how the exposure indices can help in quality assurance within their department. This can help ensure that we get the best possible images to help children while using a low dose,” said Steven Don, M.D., also co-chair of the Back to Basics campaign committee.

At least 10 million X-rays were performed on children in 2010. There is no doubt that standard X-ray exams improve and save lives. However, children are more sensitive to radiation received from imaging scans than adults, and cumulative radiation exposure to their smaller, developing bodies could have adverse effects over time.

When X- ray is the right thing to do, imaging providers are urged to:

  1. Measure patient thickness for “child-size” technique;
  2. Avoid using grids for body parts less than 10-12 cm thick;
  3. X-ray only the indicated area with proper collimation and shielding; and
  4. Check exposure indicators and image quality.

“Physicians, medical physicists and radiologic technologists have to work together to ensure quality imaging and that each patient receives a reasonably low dose while getting the study needed. The technologist often has the final opportunity to ensure that appropriate steps are taken before an image is acquired. We urge technologists to work with the other team members and to take advantage of the materials provided in the Back to Basics initiative,” said Greg Morrison, CEO of the American Society of Radiologic Technologists.

The Image Gently campaign is conducted by the Alliance for Radiation Safety in Pediatric Imaging, founded by the Society for Pediatric Radiology (SPR), the American College of Radiology (ACR), the American Society of Radiologic Technologists (ASRT) and the American Association of Physicists in Medicine (AAPM), and now encompasses 71 medical organizations serving more than 500,000 healthcare providers worldwide. 

“You’re going to get the best result if you have a technologist, a radiologist and a medical physicist all working cooperatively together to create the best protocol. The technologist has the expertise of working with pediatric patients on a day-to-day basis, the radiologist has the medical expertise and the medical physicist has the technical expertise. All of these professionals need to work together to reduce dose and ensure quality patient care,” said Keith J. Strauss, MSc, FAAPM, FACR, medical physicist and Back to Basics campaign committee member.

For more information: www.imagegently.org

Related Content

Guerbet Partners With Imalogix on Dose Optimization With Artificial Intelligence
News | Radiation Dose Management | August 14, 2018
August 14, 2018 — Guerbet LLC USA announced a commercial partnership with Imalogix, a provider of...
Imalogix Brings Fluoroscopy Capabilities to Radiation Dose Management Platform
Technology | Radiographic Fluoroscopy (RF) | August 06, 2018
Imalogix, a provider of artificial intelligence (AI) process and workflow solutions, announced the availability of the...
Hologic Acquires Digital Specimen Radiography Company Faxitron Bioptics

VisionCT 3-D breast specimen-designated computed tomography (CT) system. Image courtesy of Faxitron Bioptics.

News | Breast Imaging | July 31, 2018
Hologic Inc. announced it has completed the acquisition of Faxitron Bioptics, a privately-held leader in digital...
Sectra radiation dose monitoring software can help manage radiation dose from multiple medical imaging modalities.
News | Radiation Dose Management | July 25, 2018
July 25, 2018 – Sectra will install its cloud-based,...
The Aspen XDR Straight Arm
News | Digital Radiography (DR) | July 20, 2018
The Aspen XDR Straight Arm Digital Radiography System is an advanced and complete digital X-ray solution with a compact...
Fujifilm to Host Pediatric Imaging Best Practices Symposium at AHRA 2018
News | Pediatric Imaging | July 18, 2018
Fujifilm Medical Systems U.S.A. Inc. announced that it will offer educational opportunities and exhibit its latest...
The images (before and after) depict a 50 percent dose reduction in chest X-ray without compromising  image quality.

The images (before) depict a 50 percent dose reduction in chest X-ray without compromising
image quality.

Sponsored Content | Case Study | Radiation Dose Management | July 03, 2018
There are a handful of priorities for radiologists: lowest radiation dosage, highest image quality, optimal workflow,...
Metropolitan Washington Orthopaedic Practice Upgrades DR With Agfa DX-D 300s
News | Digital Radiography (DR) | June 15, 2018
Agfa announced that it has installed two DX-D 300 digital radiography (DR) solutions at the multi-office Centers for...
Zebra Medical Vision Unveils AI-Based Chest X-ray Research
News | Artificial Intelligence | June 08, 2018
June 8, 2018 — Zebra Medical Vision unveiled its Textray chest X-ray research, which will form the basis for a future
Overlay Init