Image Wisely: A Campaign to Increase Awareness about Adult Radiation Protection

Brink, James A.; Amis, Edward S.

doi:10.1148/radiol.10101335

Cited by 187 publications

(95 citation statements)

References 0 publications

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“…Institutes with little to no interest in reducing CT radiation doses should first be sensitised to the need for this process using an awareness campaign. Recently, awareness campaigns for paediatric and adult CT imaging have been launched in the United States [25,26]. Two recent investigations have confirmed our findings that educational initiatives can successfully reduce the CT radiation dose [27,28].…”

Section: Discussionsupporting

confidence: 79%

An education and training programme for radiological institutes: impact on the reduction of the CT radiation dose

et al. 2011

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Objectives To establish an education and training programme for the reduction of CT radiation doses and to assess this programme's efficacy. Methods Ten radiological institutes were counselled. The optimisation programme included a small group workshop and a lecture on radiation dose reduction strategies. The radiation dose used for five CT protocols (paranasal sinuses, brain, chest, pulmonary angiography and abdomen) was assessed using the dose-length product (DLP) before and after the optimisation programme. The mean DLP values were compared with national diagnostic reference levels (DRLs). Results The average reduction of the DLP after optimisation was 37% for the sinuses (180 vs. 113 mGycm, P< 0.001), 9% for the brain (982 vs. 896 mGycm, P<0.05), 24% for the chest (425 vs. 322 mGycm, P<0.05) and 42% for the pulmonary arteries (352 vs. 203 mGycm, P<0.001). No significant change in DLP was found for abdominal CT. The post-optimisation DLP values of the sinuses, brain, chest, pulmonary arteries and abdomen were 68%, 10%, 20%, 55% and 15% below the DRL, respectively. Conclusions The education and training programme for radiological institutes is effective in achieving a substantial reduction in CT radiation dose.

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Section: Discussionsupporting

confidence: 79%

An education and training programme for radiological institutes: impact on the reduction of the CT radiation dose

et al. 2011

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“…While not directly related to improving diagnosis, unnecessary exposure is a patient related error that can arise from the image acquisition process. The Image Gently [31,38] and Image Wisely [39,40] campaigns offer ways to mitigate patient risk by optimizing exposure to ionizing radiation. The ACR Dose Index Registry benchmarks imaging facilities against national and regional norms in order to provide guidance for sites in adjusting their computed tomography protocols [41].…”

Section: Protocol Selection and Image Acquisitionmentioning

confidence: 99%

Improving diagnosis in health care: perspectives from the American College of Radiology

et al. 2017

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Abstract:In September of 2014, the American College of Radiology joined a number of other organizations in sponsoring the 2015 National Academy of Medicine report, Improving Diagnosis In Health Care. Our presentation to the Academy emphasized that although diagnostic errors in imaging are commonly considered to result only from failures in disease detection or misinterpretation of a perceived abnormality, most errors in diagnosis result from failures in information gathering, aggregation, dissemination and ultimately integration of that information into our patients' clinical problems. Diagnostic errors can occur at any point on the continuum of imaging care from when imaging is first considered until results and recommendations are fully understood by our referring physicians and patients. We used the concept of the Imaging Value Chain and the ACR's Imaging 3.0 initiative to illustrate how better information gathering and integration at each step in imaging care can mitigate many of the causes of diagnostic errors. Radiologists are in a unique position to be the aggregators, brokers and disseminators of information critical to making an informed diagnosis, and if radiologists were empowered to use our expertise and informatics tools to manage the entire imaging chain, diagnostic errors would be reduced and patient outcomes improved. Heath care teams should take advantage of radiologists' ability to fully manage information related to medical imaging, and simultaneously, radiologists must be ready to meet these new challenges as health care evolves. The radiology community stands ready work with all stakeholders to design and implement solutions that minimize diagnostic errors.

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“…Approaches like the use of bowtie filter and automated exposure control are now established practices in diagnostic CT. More recently, the 'Image Gently' [11] and 'Image Wisely' [12] campaigns have been initiated to increase awareness of the opportunities to lower radiation doses in the imaging of children and adults.…”

Section: Personalized Imaging In Igrtmentioning

confidence: 99%