The Image Gently Alliance

child dental x ray On or around April 1, 1980, someone decided the objective of an ultrasound exam was a set of images. It seems plausible on the surface. It fits the job description of ultrasound technologists, and it mirrors the role of manufacturers. From the standpoint of medical diagnosis, though, that notion departs from medical teachings going back to Hippocrates, probably even earlier to the Ebers Papyrus.  I am sure the originator could not have been a radiology. I  hope that  behavioral psychology might provide us with an insight. In the Beginning The early B-Mode ultrasound settlement included physicians with a wide array of specialty backgrounds. After some initial, and very significant, technical advances, a lot of the daily clinical work across the country was handled by radiologists.  Along the way, cardiologists moved up to high-speed imaging from TM tracings and obstetricians began to offer ultrasound to their own patients. Now, we ha...

To improve patient safety and standardize data obtained from a voiding cystourethrogram (VCUG), the AAP Section on Radiology and Section on Urology have established a standard protocol for performing the test. Establishing a Standard Protocol for the Voiding Cystourethrography, a new clinical report, is available at http://dx.doi.org/10.1542/peds.2016-2590 and will be published in the November issue of pediatric x ray . Need for standard protocols Pediatric urologists base many of their treatment plans and diagnoses on images obtained by their local radiology department. Protocols ensure that the same region of the body is imaged with the same technique each time to allow observation of disease, set surgical indications or judge postoperative results. Standard protocols play an important role in comparing results among institutions and facilitate multicenter studies. Therefore, most imaging studies are required to be performed according to national, and often internationa...

Macrocyclic gadolinium-based contrast agents (GBCA) are increasingly preferred to a linear GBCA in pediatric hospitals, according to a study published in the journal Pediatric Radiology. Researchers from Northwestern University in Chicago, Ill., and the University of Arizona in Phoenix sought to determine how pediatric hospitals were using gadolinium, as well as learn more about the knowledge base among radiologists and referring providers regarding GBCAs and brain gadolinium deposition. The researchers sent out surveys to 5,390 physicians in various pediatric professional societies between January 2016 and March 2016. The groups included the Society of Chairs of Radiology in Children's Hospitals (SCORCH), the Society for Pediatric Radiology, the Pediatric Endocrine Society, as well as a group of pediatric neuro-oncology attending physicians, pediatric neurology attending physicians, and pediatric infectious disease program directors. The results showed 80 percent...