CT Stakeholders’ Meeting – Image Wisely James A. Brink, MD

ACR/RSNA Joint Task Force on Adult 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 Wald Morin, Bashir (Creech, Dunne, Butler) Amis, Brink Zeman, Hendee, Morrison (Creech, Butler) Chair-TBD Members (ACR Staff) Amis, Brink, Hendee, Morrison (Butler, Bresolin, Creech) Timins Members (ACR Staff) Zeman Members (RSNA Staff) Hendee Members (AAPM Staff) Powers Members (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 ProvidersBob Zeman PhysicistsBill Hendee TechnologistsKevin Powers Website DesignChristoph Wald