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New initiative provides materials to help lower radiation dose in pediatric fluoroscopic procedures
Date:2/11/2011

Washington, DC The Image Gently campaign has developed easily accessible online teaching materials and checklists to help providers use the lowest dose necessary to perform fluoroscopic procedures on children. Physicians, medical physicists, and radiologic technologists are encouraged to visit the Image Gently Web site (www.imagegently.org) to review these important materials and factor the information into their clinical decision making.

The Image Gently campaign is conducted by the Alliance for Radiation Safety in Pediatric Imaging, founded by the Society for Pediatric Radiology (SPR), the American College of Radiology (ACR), the American Society of Radiologic Technologists (ASRT), and the American Association of Physicists in Medicine (AAPM), and now encompasses more than 50 medical organizations serving more than 500,000 health care providers world-wide.

There is no doubt that fluoroscopic procedures help improve and save lives. However, children are more sensitive to radiation than adults, and cumulative radiation exposure to their smaller, developing bodies could, over time, have adverse effects.

When fluoroscopic procedures are indicated, providers where appropriate areurged to:

  • Pause and child-size the technique (match kVp and mAs to size of child)
  • Use lowest pulse rate possible
  • Limit fluoroscopic time and limit use of magnification mode
  • Carefully collimate area of interest and utilize appropriate shielding
  • Utilize pulsed digital fluoroscopic equipment with adjustable frame speeds and last image hold and capture capability.
  • Consider ultrasound or, when applicable, MRI

"The diagnostic results that these procedures provide, as with all medical techniques, also come with their own potential questions and concerns. This extension of the Image Gently initiative gives providers real world, practical guidance to help ensure
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Contact: Shawn Farley
sfarley@acr.org
703-648-8936
American College of Radiology / American Roentgen Ray Society
Source:Eurekalert

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