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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. This activity is now available on DVD and MP4 formats to fit your schedule and preparation preference.

If you participated in the live activity of an SPR program listed below, please note that you are not eligible to receive credit for the enduring (DVD/online) version of the activity. If there are questions regarding this, please contact the SPR Office at spr@acr.org.


 
CREDITS Earn up to 11 AMA PRA Category 1 Credits
CE RELEASE May 1, 2014
CE EXPIRE May 1, 2017
ONLINE PRICE $895.00
(You will be redirected to Oakstone.com)
 

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
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

 
 

Faculty


PROGRAM COMMITTEE

CO-CHAIRS

Donald P. Frush, MD
Chief, Division of Pediatric Radiology
Vice-Chair of Safety and Quality
Duke University Medical Center
Durham, North Carolina

Marilyn J. Goske, MD
Professor of Radiology and Pediatrics
Corning Benton Endowed Chair for
Radiology Education
Cincinnati Children’s Hospital Medical Center
Cincinnati, Ohio

Keith J. Strauss, MSc
Assistant Professor
Clinical Imaging Physicist
The Department of Radiology
Cincinnati Children’s Hospital Medical Center
Cincinnati, Ohio

Sjirk J. Westra, MD
Pediatric Radiologist
Massachusetts General Hospital
Associate Professor of Radiology
Harvard Medical School
Boston, Massachusetts

COMMITTEE MEMBERS

James A. Brink, MD
Radiologist-in-Chief
Massachusetts General Hospital
Professor of Radiology
Harvard Medical School
Boston, Massachusetts

Richard L. Morin, PhD
Brooks-Hollern Professor
Department of Radiology
Mayo Clinic Florida
Jacksonville, Florida

Greg Morrison, MA, RT(R), CNMT, CAE
Chief Operating Officer
American Society of Radiologic Technologists
Albuquerque, New Mexico

Madan M. Rehani, PhD
Consultant, International Atomic Energy Agency
Director, Radiation Protection, European Society
of Radiology (ESR)
Professor of Medical Physics (Retd)
Secretary-General, IOMP
Secretary, ICRP Medical Committee
Vienna, Austria

Thomas L. Slovis, MD
Emeritus Chief of Pediatric Radiology
Children’s Hospital of Michigan
Emeritus Professor of Radiology and Pediatrics
Wayne State University School of Medicine
Detroit, Michigan

 

PROGRAM COMMITTEE AND FACULTY

INVITED FACULTY

Dianna D. Cody, PhD
Director, Clinical Operations
Department of Imaging Physics
Division of Diagnostic Imaging
The University of Texas MD Anderson
Cancer Center
Houston, Texas

Karen S. Frush, MD
Professor of Pediatrics
Clinical Professor of Nursing
Chief Patient Safety Officer
Duke University Health System
Durham, North Carolina

David W. Jordan, PhD
Senior Medical Physicist
University Hospitals Case
Medical Center
Assistant Professor of Radiology
Case Western Reserve University
Cleveland, Ohio

Mannudeep K. Kalra, MD
Associate Professor of Radiology
Harvard Medical School
Assistant Radiologist, MGH Imaging
Massachusetts General Hospital
Boston, Massachusetts

Ehsan Samei, PhD
Professor of Radiology, Medical
Physics, Physics, Biomedical
Engineering, and Electrical and
Computer Engineering
Director, Carl E. Ravin Advanced
Imaging Laboratories (RAI Labs)
Division Chief, Clinical Imaging
Physics Group
Duke University Medical Center
Durham, North Carolina

J. Anthony Seibert, PhD
Professor of Radiology
University of California Davis
Health System
Sacramento, California

Louis K. Wagner, PhD
Professor of Medical Physics
Department of Diagnostic and
Interventional Imaging
The University of Texas – Houston
Medical School
Houston, Texas

SPR MEMBER FACULTY

Sheila C. Berlin, MD
Director of Pediatric CT
Rainbow Babies and Children’s Hospital
Assistant Professor of Radiology
Case Western Reserve University SOM
University Hospitals of Cleveland
Cleveland, Ohio

R. Paul Guillerman, MD
Associate Professor of Radiology
Baylor College of Medicine
Department of Pediatric Radiology
Texas Children's Hospital
Houston, Texas

David B. Larson, MD, MBA
Associate Chair for Performance
Improvement
Associate Professor of Radiology
Stanford University
Department of Radiology
Stanford, California

Beverley Newman, MD
Associate Chief of Pediatric Radiology
Professor of Radiology
Lucile Packard Children's Hospital
Stanford University
Stanford, California

Daniel J. Podberesky, MD
Chief, Thoracoabdominal Imaging
Associate Professor of Radiology
Cincinnati Children’s Hospital
Medical Center
Cincinnati, Ohio


 
 

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.
 
 

Designation


The American College of Radiology designates this enduring material for a maximum of 11 AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity.