CT Stakeholders’ Meeting – Image Wisely

James A. Brink, MD

ACR/RSNA Joint Task Force onAdult Radiation Protection:

“Image Wisely”

• To raise awareness among providers of opportunities to: – Eliminate unnecessary imaging exams– Lower the amount of radiation used in

necessary imaging exams to only that needed to capture optimal medical images

Charge

• Develop educational resources for radiologists, medical physicists, and technologists who provide medical imaging care within the United States.

• Communicate the availability of these educational resources using a wide variety of electronic and print media and through networking with affiliated health care organizations, educational institutions and government agencies.

Charge

• E Stephen Amis Jr MD, co-chair

• James A Brink MD, co-chair

• Richard L Baron MD, RSNA Board Liaison

• Marta Hernanz-Schulman, MD

• Bruce J Hillman MD

• Herbert Y Kressel MD

• Paul A Larson MD

• Fred A Mettler JR MD

• Richard L Morin PhD

• Greg Morrison, MA, RT (R), ASRT representative

• Julie K Timins MD

• Robert K Zeman MD

• Linda B. Bresolin, PhD, MBA, CAE, RSNA

• Priscilla Butler, MS, ACR

• Wil Creech, ACR

Composition

• Target audiences will be addressed in two phases:– Radiologists, Technologists, Medical Physicists– Patients, Referring Physicians, Administrators

• Targets Areas (in order of priority)– Computed Tomography– Nuclear Medicine Procedures– Radiography / Fluoroscopy

Action Plan

Amis, Brink, Goske, Hendee, Schulman, Hillman, Kressel, Larson, Mettler, Morin, Morrison, Timins, Wagner, Wald, Zeman

WaldMorin, Bashir(Creech , Dunne, Butler)

Amis, BrinkZeman, Hendee, Morrison(Creech, Butler)

Chair-TBDMembers(ACR Staff)

Amis, Brink,Hendee, Morrison(Butler, Bresolin, Creech)

TiminsMembers(ACR Staff)

ZemanMembers(RSNA Staff)

HendeeMembers(AAPM Staff)

PowersMembers(ASRT Staff)

Baron

Butler, Bresolin, Creech, Dunne, Millette

Wagner(Creech, Butler)

Donaldson, Wald(Millette)

Logo & Pledge

Commitment to “Image Wisely”

• Pledge

• ACR Accreditation (or equivalent)

• Participation in a Dose Index Registry

Key Messages• A commitment to Image Wisely –

– Pledge to the campaign– Get accredited– Participate in a registry

• Imaging Wisely –

– The right exam, performed the right way– Use the most appropriate exam for the clinical problem– Make sure the benefits outweigh the risks– If ionizing radiation is used, make sure the dose is appropriate

Key Messages

• When CT is the right exam –

– Before imaging, check the dose and protocol– Tailor mAs, kVp, and other technical factors to patient size

and indication– Use as few phases as possible to answer the clinical

question– Scan only the indicated areas

Image Wisely Launch

• RSNA, 2010: Special Interest Session– Monday, 11/29, 4:30-6:00p

• Radiology Editorial – December, 2010

Marketing Plan

• Promotional communications by Image Wisely leadership, including written and video pieces

• Public service announcement for trade journals and general broadcast

• Variety of collateral paraphernalia (e.g., lapel pins, stickers, etc.) for distribution at the 2010 launch

Image Wisely Website

• Informational and reference content for imaging providers, medical physicists, and technologists

• The Image Wisely pledge form• Links to CT equipment manufacturers’ dedicated microsites, with

vendor-specific information on how to optimize dose on their equipment

• Links to RadiologyInfo.org, acr.org, and rsna.org, Radiation Benefits/Risks Primer

• A downloadable imaging history card for patients (co-sponsored by Image Wisely and the FDA).

Image Wisely Website

• Imaging Providers Bob Zeman• Physicists Bill

Hendee• Technologists Kevin

Powers• Website Design Christoph

Wald