Image gently – Alliance for Radiation Safety in paediatric Imaging

ESPR is one of the affiliate members of the “The Alliance for Radiation Safety in Pediatric Imaging”


The recent development of remarkable equipment, such as multi-detector row computed tomography (CT), and increased utilisation of x-ray and nuclear medicine studies have, no doubt, improved the lives of our patients and helped revolutionise the practice of medicine.

However, these dramatic achievements in imaging have also resulted in a significant increase in Americans’ cumulative exposure to ionising radiation. Particularly, children are more sensitive to radiation than adults and cumulative exposure to their growing, smaller bodies could, over time, have adverse effects.


In order to ensure that imaging providers are accounting for these factors, the ESPR has joined the Alliance for Radiation Safety in Pediatric Imaging, a coalition of medical organisations and government bodies, in launching the “Image Gently” campaign (

As part of this effort, the ESPR and all Alliance member organisations urge that, when performing imaging exams on children, providers:


– Significantly reduce, or “child-size,” the amount of radiation used IGLOGO_crop
– Not over-scan:
Scan only when necessary
Scan only the indicated region
Scan once; multi phase scanning (pre-and post contrast, delayed exams) is rarely helpful
–  Be a team player:
Involve medical physicists to monitor pediatric CT techniques
Involve technologists to optimise scanning


The Image Gently campaign initially will focus on CT scans. There were 4 million pediatric CT scans performed in 2006. In fact, the number of paediatric CT scans performed in the United States has tripled in the last five years.

The Image Gently Alliance website ( contains the latest research and educational materials to aid radiologists, radiologic technologists, medical physicists, and other imaging stakeholders in determining the appropriate radiation techniques to be used in the imaging of children, and how the radiation received from these exams may affect patients over time. We ask that you share this important resource for all imaging professionals with your referring physicians as well as your facility’s medical physicists and radiologic technologists.


Members are urged to visit the Image Gently website and pledge to do their part to “child-size” the radiation dose used in children’s imaging.


Thank you very much for your support and your leadership in radiology.


Image Gently



Click here for more information on the
“Pause and Pulse in Paediatric Fluoroscopic Imaging! ” phase in the Image Gently Campaign.