ALARA – CT (As Low As Reasonably Achievable)
The Society for Pediatric Radiology
The Society for Pediatric Radiology has a long-standing history of advocating responsible and safe imaging of children, adhering to the principles of ALARA (As Low As Reasonably Achievable) for radiation exposure during any imaging examination. The SPR is centrally involved in scientific and educational programs to promote improved safety and reduced radiation exposure for children undergoing CT scans. This program is a forum for discussion and sharing of knowledge for reducing radiation dose to children undergoing diagnostic medical imaging procedures, especially CT scans.
Intended Audience
The target audience for this program includes pediatric radiologists, general radiologists, medical imaging physicists and CT technologists at both pediatric and adult facilities.
Topics & Speakers
OVERVIEW
- Why and When to Use CT in Children:
Radiologist’s Perspective
Donald P. Frush, MD
- Why and When to Use CT in Children:
Pediatric Emergency Medicine
Physician’s Perspective
Karen S. Frush, MD
- Should Risk from Medical Imaging
Be Assessed in the Absence of Benefit
and Vice Versa?
Louis K. Wagner, PhD
- Clinical Decision Making Tools/Order Entry
James A. Brink, MD
- Question and Answer
CT SCANNER OPERATIONS
- Overview of CT Technologies for Children
Donald P. Frush, MD
- Management of Automatic Exposure Control
(AEC) During Pediatric Imaging
Dianna D. Cody, PhD
- Iterative Reconstruction: How it Works,
How to Apply
J. Anthony Seibert, PhD
- Standardized Nomenclature and CT Protocols:
Better, But Not There Yet
Sarabjeet Singh, MD, MMST
- Question and Answer
PATIENT DOSE AND POTENTIAL RISKS
- From Image Gently to Image Intelligently:
A Personalized Perspective on
Diagnostic Radiation Risk
R. Paul Guillerman, MD
- Dose Indices-Everybody Wants a
Number (CTDI, DLP, SSDE-
Sample Calculations, E dose)
Keith J. Strauss, MSc
- Organ Dose Determination – The Holy Grail
Ehsan Samei, PhD
- Stochastic, Deterministic,
Cumulative Dose (Is There Such a
Thing as Cumulative Dose?)
Richard L. Morin, PhD
- If It is Printed in the Peer Reviewed
Literature It Must Be True?
Louis K. Wagner, PhD
- Global View on Radiation
Protection of Children
Madan M. Rehani, PhD
- Question and Answer
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MANAGEMENT OF PATIENT DOSE: BASICS
- CT Protocols for Specific Scanners:
Two Approaches to the Same Challenge –
Developing Scanner Specific Dose Protocols
for all Exams/Patients
Dianna D. Cody, PhD
- CT Protocols for Specific Scanners:
Two Approaches to the Same Challenge –
Developing a Patient Specific Dose Protocol
for any CT Scanner/Exam
Keith J. Strauss, MSc
- Boots on the Ground – How to Influence
Your Local Radiology Departments to
Use Appropriate CT Dose
Thomas L. Slovis, MD
- Pros and Cons of Organ Shielding
During Pediatric CT
Ehsan Samei, PhD
- Optimizing CT Dose Based on Patient Size
and Image Quality: What We Need
David B. Larson, MD, MBA
- Individual Dose Tracking
James A. Brink, MD
- Dose Index Registry: What it is and
How Accurate are the Numbers?
Richard L. Morin, PhD
- Question and Answer
QUALITY IMPROVEMENT
- Diagnostic Reference Ranges and DIR-
The Pediatric Experience
Marilyn J. Goske, MD
- CT Imaging in a Large Part of the World:
What We Know and What We Can Learn
Madan M. Rehani, PhD
- Quality Improvement in Chest CT Angiography:
What I Have Learned
Sjirk J. Westra, MD
- A Practical Approach to Quality
Improvement in Pediatric CT
David B. Larson, MD, MBA
- Question and Answer
TRAINING AND COMMUNICATION
- Resources for Educating Radiologists,
Technologists and Parents About CT
Marilyn J. Goske, MD
- What I Say to Parents About CT Scans
Karen S. Frush, MD
- Risk Communication in the Era of
Individualized Medicine
Sjirk J. Westra, MD
- State of CT Education – Gaps in Knowledge/Certification for Technologists
Greg Morrison, MA, RT(R), CNMT, CAE
- California Experience – Policy and Regulation
J. Anthony Seibert, PhD
- Question and Answer
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Learning Objectives
Upon completion of this activity, the participant will be able to:
- Evaluate progress that has been made in radiation protection for children
- Recognize the evidence regarding dose and risk estimates
- Describe CT dose estimates and their significance in children
- Discuss automated strategies to optimize CT for children
- Describe an approach to developing protocols for facilities
- Prepare participants to competently manage radiation dose in pediatric patients
Accreditation
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Radiology and The Society for Pediatric Radiology. The American College of Radiology is accredited by the ACCME to provide continuing medical education for physicians. The American College of Radiology (ACR) is approved by the American Registry of Radiologic Technologists (ARRT) as a Recognized Continuing Education Evaluation Mechanism (RCEEM) to sponsor and/or review Continuing Education programs for Radiologic Technologists and Radiation Therapists.
Date of Original Release: May 1, 2014
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