Pediatric Radiology

, 41:461

Image Gently: progress and challenges in CT education and advocacy


    • Department of RadiologyCincinnati Children’s Hospital Medical Center
  • Kimberly E. Applegate
    • Emory University School of Medicine
  • Dorothy Bulas
    • Department of Diagnostic Imaging and RadiologyChildren’s National Medical Center
  • Priscilla F. Butler
    • Breast Imaging Accreditation ProgramsAmerican College of Radiology
  • Michael J. Callahan
    • Department of RadiologyChildren’s Hospital
  • Brian D. Coley
    • Department of RadiologyNationwide Children’s Hospital
  • Steven Don
    • St. Louis Children’s Hospital, Mallinckrodt Institute of RadiologyWashington University School of Medicine
  • Donald P. Frush
    • Division of Pediatric RadiologyDuke University Medical Center
  • Marta Hernanz-Schulman
    • Department of Diagnostic ImagingVanderbilt Children’s Hospital
  • Sue C. Kaste
    • St. Jude Children’s Research Hospital
  • Gregory Morrison
    • American Society of Radiologic Technologists
  • Manrita Sidhu
    • Seattle Children’s HospitalUniversity of Washington and Seattle Radiologists
  • Keith J. Strauss
    • Radiology Physics and Engineering, Department of Radiology, Children’s Hospital BostonHarvard Medical School
  • S. Ted Treves
    • Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Children’s HospitalHarvard Medical School
  • on behalf of the Alliance for Radiation Safety in Pediatric Imaging

DOI: 10.1007/s00247-011-2133-0

Cite this article as:
Goske, M.J., Applegate, K.E., Bulas, D. et al. Pediatr Radiol (2011) 41: 461. doi:10.1007/s00247-011-2133-0


Significant progress has been made in radiation protection for children during the last 10 years. This includes increased awareness of the need for radiation protection for pediatric patients with international partnerships through the Alliance for Radiation Safety in Pediatric Imaging. This paper identifies five areas of significant progress in radiation safety for children: the growth of the Alliance; the development of an adult radiation protection campaign Image Wisely™; increased collaboration with government agencies, societies and the vendor community; the development of national guidelines in pediatric nuclear medicine, and the development of a size-based patient dose correction factor by the American Association of Physicists in Medicine, Task Group 204. However, many challenges remain. These include the need for continued education and change of practice at adult-focused hospitals where many pediatric CT exams are performed; the need for increased emphasis on appropriateness of pediatric imaging and outcomes research to validate the performance of CT studies, and the advancement of the work of the first pediatric national dose registry to determine the “state of the practice” with the final goal of establishing ranges of optimal CT technique for specific scan indications when imaging children with CT.


ChildrenCT scanRadiation protectionRadiation safety

Copyright information

© Springer-Verlag 2011