Pediatric Radiology

, 41:461

Image Gently: progress and challenges in CT education and advocacy

  • Marilyn J. Goske
  • Kimberly E. Applegate
  • Dorothy Bulas
  • Priscilla F. Butler
  • Michael J. Callahan
  • Brian D. Coley
  • Steven Don
  • Donald P. Frush
  • Marta Hernanz-Schulman
  • Sue C. Kaste
  • Gregory Morrison
  • Manrita Sidhu
  • Keith J. Strauss
  • S. Ted Treves
  • on behalf of the Alliance for Radiation Safety in Pediatric Imaging
ALARA-CT

Abstract

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.

Keywords

Children CT scan Radiation protection Radiation safety 

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Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Marilyn J. Goske
    • 1
  • Kimberly E. Applegate
    • 2
  • Dorothy Bulas
    • 3
  • Priscilla F. Butler
    • 4
  • Michael J. Callahan
    • 5
  • Brian D. Coley
    • 6
  • Steven Don
    • 7
  • Donald P. Frush
    • 8
  • Marta Hernanz-Schulman
    • 9
  • Sue C. Kaste
    • 10
  • Gregory Morrison
    • 11
  • Manrita Sidhu
    • 12
  • Keith J. Strauss
    • 13
  • S. Ted Treves
    • 14
  • on behalf of the Alliance for Radiation Safety in Pediatric Imaging
  1. 1.Department of RadiologyCincinnati Children’s Hospital Medical CenterCincinnatiUSA
  2. 2.Emory University School of MedicineAtlantaUSA
  3. 3.Department of Diagnostic Imaging and RadiologyChildren’s National Medical CenterWashingtonUSA
  4. 4.Breast Imaging Accreditation ProgramsAmerican College of RadiologyRestonUSA
  5. 5.Department of RadiologyChildren’s HospitalBostonUSA
  6. 6.Department of RadiologyNationwide Children’s HospitalColumbusUSA
  7. 7.St. Louis Children’s Hospital, Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouiseUSA
  8. 8.Division of Pediatric RadiologyDuke University Medical CenterDurhamUSA
  9. 9.Department of Diagnostic ImagingVanderbilt Children’s HospitalNashvilleUSA
  10. 10.St. Jude Children’s Research HospitalMemphisUSA
  11. 11.American Society of Radiologic TechnologistsAlbuquerqueUSA
  12. 12.Seattle Children’s HospitalUniversity of Washington and Seattle RadiologistsSeattleUSA
  13. 13.Radiology Physics and Engineering, Department of Radiology, Children’s Hospital BostonHarvard Medical SchoolBostonUSA
  14. 14.Department of Radiology, Division of Nuclear Medicine and Molecular Imaging, Children’s HospitalHarvard Medical SchoolBostonUSA

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