Purpose: To raise awareness, educate and advocate for thoughtful, safe imaging for young children who have sustained minor head trauma. Justification: Head trauma is a leading cause of death in the pediatric population Head trauma accounts for >80% of trauma related mortality in children less than a year of age In recent review [2] together with additional literature [1, 3,4]:Traumatic brain injury affects approximately 280 in every 100,000 (.28%) children globally In the U.S.: 2,600-3,000 traumatic brain injury-related deaths 35,000-600,000 emergency department visits 40,000-60,000 hospitalizations...

The Think A-Head Campaign Committee was formed to emphasize the value of consensus participation of pediatric radiologists, including neuroradiologists, emergency medicine physicians, pediatric neurosurgeons, pediatric surgeons and trauma surgeons, pediatricians, nurses, technologists, and medical physicists. The Campaign, in addition, emphasized tenets of the Alliance [26, 27]: the benefit of medical imaging informed, appropriate radiation use rather than radiation reduction alone importance of consensus with all relevant stakeholders messaging that is: simple resonant positive Work performed included: Presentations of Campaign at relevant societal meetings (e.g., ASNR...

Conclusion and Recommendations Impact has always been difficult to assess given the social marketing strategy of the Image Gently® Alliance. And impact may only be evident years after campaign rollouts [25-27]. However, the prior strategies have been successful in global recognition of the unique aspects of medical imaging and radiation use in children, and strategies both from an optimization but growing justification. In this Campaign, the first for Image Gently to begin to address justification in medical imaging, the impact of venturing into the justification...

Donald P. Frush, MD FACR, FAAP Chair, Image Gently Alliance (www.imagegently.org) Professor of Radiology and Pediatrics 1905 McGovern-Davison Children’s Health Center Duke University Medical Center Durham, North Carolina 27710 Phone: 919 684-7343, 919 684-7293 E-mail: [email protected]

https://emedicine.medscape.com/article/907273-overview https://www.uptodate.com/contents/severe-traumatic-brain-injury-in-children-initial-evaluation-and-management?source=see_link Mannix R, O’Brien MJ, Meehan WP III. The epidemiology of outpatient visits for minor head injury: 2005 to 2009.Neurosurgery. 2013;73:129-134 http://pedsinreview.aappublications.org/content/33/9/398 Wildman-Tobriner B, Strauss K, Frush D, et al. Assessing estimated doses associated with the practice of common pediatric body CT examinations using a CT dose index registry. In press January 2018 Jennings RM, Burtner JJ, Pellicer JF, et al. Reducing head CT use for children with head injuries in a community emergency department. Pediatrics 2017; Volume 139: e20161349 Marin JR,Weaver MD,Barnato AE,...