Image Gently in 2016
1.
NAME CHANGE: previously the Alliance for Radiation Safety in Pediatric Imaging is now the Image Gently Alliance [8],
more resonant and familiar appellation.
2.
Action 10 – clarification of the goals of the Image Gently Alliance [9,
10]
a. broadening the focus on less radiation to using the right amount,
b. the Alliance advocates informed use of radiation rather than focusing only on dose reduction,
3.
Action 7,
Action 10 – collaboration with the global network (Figure 2)
a. aligned missions for radiation protection children,
4.
Action 11 – on 11.1.17: release of a microsite for parents (www.imagegentlyparents.org) during the Think A-Head Campaign,
5. Continued input into U.S.
health authority actions
a. e.g.,
guidance for The Joint Commission national patient safety goals relevant to the use of ionizing radiation children,
6.
Action 10 – Recognition of the Image Gently by the North American pediatric nuclear medicine community for harmonization of use of radionuclides in the pediatric population,
(Figure 3)
7.
Action 12 – Continued contributions through presentations,
peer review publications,
newsletters in scientific venues and publications both nationally and internationally
a. e.g.,
webinars sponsored by the IAEA (https://rpop.iaea.org/RPOP/RPoP/Content/AdditionalResources/Training/free-webinars/upcoming-webinar/)
b. WHO publication on risk communication for use of ionizing radiation in children [11]) (Figure 4)
c. presentation list
d. Choosing Wisely: incudes 2 items on pediatric imaging
8.
Action 10 – Joint venture with Image Wisely® for monthly columns in the Journal of the American College of Radiology
a. "Radiation Sensibilities" edited by Richard Morin,
PhD and Donald Frush,
MD.
b. This series began with the January 2017 issue of JACR [12],
9.
Action 7,
Action 10, Action 11,
Action 12 – Release of the Think A-Head Campaign (phase I,
November,
2016)) for the use of imaging exams,
especially CT,
in the setting of minor closed head injury especially in children [9] (Figure 5)
a. If kids hurt their heads,
help families make informed decisions:
- Know when an imaging test is (and is not) necessary
- Explain why a head CT scan is (or is not) the right choice
- Discuss the benefits as well as the risks of the scan
- Child-size the CT radiation dose (where necessary)
b. The organizations that support/endorse/participate in the principles of these above talking points for the Image gently Think A-Head campaign:
i.
American Academy of Pediatrics (AAP),
ii.
American Association of Neurological Surgeons and Congress of Neurological Surgeons (Joint Section) on Pediatric Neurological Surgery (JSPN),
iii.
American Association of Physicists in Medicine (AAPM),
iv.
American College of Emergency Physicians (ACEP),
v.
American College of Radiology (ACR),
vi.
American Roentgen Ray Society (ARRS),
vii.
American Society of Emergency Radiology (ASER),
viii.
American Society of Pediatric Neuroradiology (ASPNR),
ix.
American Society of Neuroradiology (ASNR),
x.
American Society of Radiologic Technologists (ASRT),
xi.
Emergency Nurses Association (ENA),
xii.
Image Wisely,
xiii.
Pediatric Trauma Society (PTS),
xiv.
Radiological Society of North America (RSNA),
xv.
Society for Pediatric Radiology (SPR),
xvi.
Society for Academic Emergency Medicine (SAEM).
Image Gently in 2017 and Beyond
1.
Action 7,
Action 10, Action 11,
Action 12 – Image Gently Alliance as a member of the ISR Quality and Safety Alliance
2.
Action 11,
Action 10 – Newly established committees for the home website (www.imagegently.org) and social marketing advancement
3.
Action 11 –Exploration of opportunities for greater presence in parent/public advocacy efforts and organizations,
4.
Action 10,
Action 11,
Action 12 – Phase II of the Think A-Head Campaign (Spring 2017)
a. decision rules (e.g.,
PECARN [13])
b. pediatric head CT techniques (e.g.,
Image Gently and AAPM [14,
15])
5.
Action 10,
Action 11,
Action 12 – Spring 2017: Have-A-Heart Campaign (Figure 6)
a. in conjunction with the pediatric cardiology community
b. aimed at education and advocacy at optimization of imaging that depends on ionizing radiation in children with congenital and acquired cardiovascular disease
c. emphasis on fluoroscopy,
CT and nuclear imaging
6.
Action 10 – Initial dialogue about contributions to decision support (ACR Select)