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Website Offers Remarkable Resource For Pediatric Imaging In Many Languages

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Image gently On the heels of a Canadian study showing the risk of cancer increased significantly in patients exposed to low-dose ionizing radiation from cardiac imaging after myocardial infarction (MI) this week, the Alliance for Radiation Safety in Pediatric Imaging launched its Image Gentlysm  Pause & Pulse initiative aimed at fluoroscopic procedures.

In a field as technologically advanced as radiologic imaging, it is sometimes easy to forget that at the other end of all the technology is a human being. It is particularly important to remember that when the person is a child facing potentially serious disease.

That’s the primary aim of the alliance, which was founded by the Society for Pediatric Radiology, the American Society of Radiologic Technologists and the American Association of Physicists in Medicine. It now includes more than 50 medical organizations worldwide serving more than 500,000 healthcare providers.

While physicians always try to use low doses during imaging procedures, the length of a typical fluoroscopic procedure often results in a relatively high absorbed dose to the patient. Recent advances include the digitization of the images captured and flat-panel detector systems, which reduce the radiation dose to the patient still further.

There is no doubt about the value of imaging procedures, particularly in children, but the alliance wants imaging professionals to always remember how much more sensitive children are to radiation, and how cumulative radiation exposure in their smaller, developing bodies, can pose harmful effects.

“The diagnostic results that these procedures provide, as with all medical techniques, also come with their own potential questions and concerns,” Dr. Marta Hernanz-Schulman chair, ACR Pediatric Guidelines and Standards Committee, said in a prepared statement. “This (Pause & Pulse) extension of the Image Gently initiative gives providers real world, practical guidance to help ensure that the radiation dose administered to children via these procedures is as low as possible given the particular circumstances of each case.”

While the Pause & Pulse initiative is directed at fluoroscopic procedures, it also draws attention to the Image Gently website (www.imagegently.org). The alliance has developed a remarkable resource for parents, referring physicians, radiologists and technologists. It includes detailed information for tests and procedures for computed tomography, interventional procedures and nuclear medicine. The resources include protocols, worksheets and discussion pages.

Perhaps more remarkable, the alliance has pulled all this together and provided it in multiple languages for international providers. The languages include Arabic, Chinese, Japanese, French, German, Greek, Hebrew, Korean, Polish, Spanish, Turkish and Thai. Volunteers are translating the materials into additional languages every day.

The Image Gently site also contains the latest research and educational materials to aid radiologists, radiologic technologists, medical physicists, and other imaging stakeholders in determining the appropriate techniques to be used in the imaging of children and how the radiation received from these exams may affect pediatric patients over time.

“The information on the Image Gently website provides a basis for interaction among the radiologists, the radiologic technologists, qualified medical physicists and other team members to improve image quality at reduced radiation doses to the patient,” said Dr. Maryellen L. Giger, president of the American Association of Physicists in Medicine.

If you are providing imaging services for pediatric patients, it is well worth your time to check out this remarkable resource.

By: Michael O'Leary, contributing editor Health Imaging Hub


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