Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 57-63 , February 2010

Image Gently: Providing Practical Educational Tools and Advocacy to Accelerate Radiation Protection for Children Worldwide

  • Marilyn J. Goske, MD

      Affiliations

    • Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    • Corresponding Author InformationAddress reprint requests to Marilyn J. Goske, MD, Department of Radiology, Cincinnati Children's Hospital Medical Center, MLC 5031, 3333 Burnet Ave, Cincinnati, OH 45229-3039
    • ,
  • Kimberly E. Applegate, MD, MS

      Affiliations

    • Emory University School of Medicine, Atlanta, GA
    • ,
  • Coreen Bell, AA

      Affiliations

    • Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    • ,
  • Jennifer Boylan, MA

      Affiliations

    • Society for Pediatric Radiology, Reston, VA
    • ,
  • Dorothy Bulas, MD

      Affiliations

    • Department of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC
    • ,
  • Penny Butler, MS

      Affiliations

    • American College of Radiology, Reston, VA
    • ,
  • Michael J. Callahan, MD

      Affiliations

    • Department of Radiology, Children's Hospital, Boston, MA
    • ,
  • Brian D. Coley, MD

      Affiliations

    • Department of Radiology, Nationwide Children's Hospital, Columbus, OH
    • ,
  • Shawn Farley, BS

      Affiliations

    • Department of Public Affairs, American College of Radiology, Reston, VA
    • ,
  • Donald P. Frush, MD

      Affiliations

    • Division of Pediatric Radiology, McGovern Davison Children's Health Center, Duke University Medical Center, Durham, NC
    • ,
  • Ceela McElveny, BA

      Affiliations

    • Department of Marketing and Communications, American Society of Radiologic Technologists, Albuquerque, NM
    • ,
  • Marta Hernanz-Schulman, MD

      Affiliations

    • Department of Diagnostic Imaging, Vanderbilt Children's Hospital, Nashville, TN
    • ,
  • Neil D. Johnson, MD

      Affiliations

    • Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH
    • ,
  • Sue C. Kaste, DO

      Affiliations

    • Radiologic Science Division of Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN
    • ,
  • Gregory Morrison, CAE, MA, RT(R), CNMT

      Affiliations

    • American Society of Radiologic Technologists, Albuquerque, NM
    • ,
  • Keith J. Strauss, MS

      Affiliations

    • Department of Radiology, Children's Hospital, Boston, MA

References 

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  2. Meinhold CB. Report Number 116 - Limitation of Exposure to Ionizing Radiation (National Council on Radiation Protection and Measurements). http://www.ncrppublications.org/Reports/116 lastAccessed August 21, 2009
  3. FDA. Public Health Notification: Reducing radiation risk from computed tomography for pediatric and small adult patients. http://www.fda.gov/cdrh/safety/110201-ct.htmlNovember 2, 2001;Accessed August 21, 2009
  4. Radiation Risks and Pediatric Computed Tomography (CT): A guide for Health Care Providers. The National Cancer Institute and the Society for Pediatric Radiology. December 22, 2008;http://www.cancer.gov/cancertopics/causes/radiation-risks-pediatric-CTAccessed October 30, 2009
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  7. Paterson A, Frush DP, Donnelly LF, et al. Helical CT of the body: Are settings adjusted for pediatric patients?. AJR. 2001;176:297–301
  8. Brenner DJ, Hall EJ. Computed tomography-an increasing source of radiation exposure. N Engl J Med. 2007;357:2277–2284
  9. Mezrich R. Are CT scans carcinogenic?. J Am Coll Radiol. 2008;5:691–693
  10. The AAPM statement on radiation dose from computed tomography, in response to the Brenner and hall NEJM article. http://www.aapm.org/announcements/CTScans.asp lastNovember 29, 2007;Accessed August 21, 2009
  11. NCRP Commentary No 13, An Introduction to Efficacy in Diagnostic Radiology and Nuclear Medicine (Justification of Medical Radiation Exposure). http://www.ncrponline.org/Publications/Comm13press.htmlAccessed August 21, 2009
  12. ACR. Appropriateness Criteria. http://www.acr.org/SecondaryMainMenuCategories/quality_safety/app_criteria.aspxAccessed August 21, 2009
  13. Goske MJ, Applegate KE, Boylan J, et al. The image gently campaign: Working together to change practice. AJR. 2008;190:273–274
  14. Balas E, Boren SA. Managing clinical knowledge for healthcare improvements. In:  Schattauer V editors. Yearbook of Medical Informatics. New York: Stuttgart; 2001;p. 65–70
  15. Cruess Rl, Cruess SR, Johnston MA. Professionalism and medicine's social contract. J Bone Joint Surg. 2000;82:1189–1194
  16. Markel H. “I Swear by Apollo”-on Taking the Hippocratic Oath. N Engl J Med. 2004;350:2026–2029
  17. Greenberg SB. The Jeremiah Metzger Lecture Osler-web-rendezvous: Impact of the information explosion on medical education. Trans Am Clin Climatol Assoc. 2008;119:245–261
  18. Merewitz L, Sunshine JA. Portrait of pediatric radiologists in the United States. AJR Am J Roentgenol. 2006;186:12–22
  19. Andreasen A. The role of social marketing. In:  Andreasen A editors. Social Marketing in the 21st Century. Thousand Oaks, CA: Sage; 2006;p. 87–107
  20. Goske MJ, Applegate KE, Boylan J, et al. Image GentlySM: A national education and communication campaign in radiology using the science of social marketing. J Am Coll Radiol. 2008;6:1200–1205
  21. Looking back on the millennium in medicine. N Engl J Med. 2000;342:42–49
  22. Frush DP, Frush KS. The ALARA concept in pediatric imaging: Building bridges between radiology and emergency medicine: Consensus conference on imaging safety and quality for children in the emergency setting, 2008, Orlando. Pediatr Radiol. 2008;38(suppl 4):S629–S632
  23. Kaste SC. ALARA concept in pediatric imaging: oncology. Pediatr Radiol. 2009;39(suppl 1):1–3
  24. National Quality Forum. Safe practices for Better Health Care- 2009 (Safe Practice 34 Pediatric Imaging). http://www.qualityforum.org/Publications/2009/03/Safe_Practices_for_Better_Healthcare%e2%80%932009_Update.aspxAccessed August 21, 2009
  25. Goske MJ, Phillips R, Mandel K, et al: CT safety in children: A national web-based practice quality Improvement Program. Paper presented at: Society for Pediatric Radiology 52nd Annual Meeting; April 22-25, 2009; Carlsbad, CA
  26. Linton OW, Mettler FA. National conference on dose reduction in CT with an emphasis on pediatric patients. AJR. 2003;181:321–329
  27. Amis ES, Butler P, Applegate KE, et al. American College of radiology white paper on dose reduction. J Am Coll Radiol. 2007;4:272–284
  28. Kalra MK, Saini S. Standardized nomenclature and description of CT scanning techniques. Radiology. 2006;241:657–660
  29. Strauss KJ, Goske MJ, Frush DP, et al. Image gently vendor summit: Working together for better estimates of pediatric radiation dose form CT. AJR. 2009;192:1169–1175
  30. Health Literacy: A prescription to end confusion. Institute of Medicine. http://www.iom.edu/ObjectFile/Master/19/726/health%20literacy520fianal.pdfAccessed August 21, 2009
  31. Bulas DI, Goske MJ, Applegate KE, et al. Image gently: Improving health literacy for parents about CT scans for children. Pediatr Radiol. 2009;39:112–116

PII: S0887-2171(09)00087-0

doi: 10.1053/j.sult.2009.09.007

Seminars in Ultrasound, CT and MRI
Volume 31, Issue 1 , Pages 57-63 , February 2010

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