Image Wisely: The Beginning, Current Status, and Future Opportunities.
J Am Coll Radiol. 2017 Mar;14(3):442-443. doi: 10.1016/j.jacr.2016.11.027.
Mayo-Smith WW1, Morin RL2.
In 2007, the ACR convened a blue-ribbon panel to discuss the issue of radiation exposure during medical imaging. The panel produced a white paper with 33 specific recommendations to optimize the amount of ionizing radiation used in diagnostic medical imaging . In 2009, a joint ACR and RSNA task force was assembled to address the issue of adult radiation protection. This task force met at ACR headquarters in Reston, Virginia, and formulated an initiative that was designated Image Wisely®. Oversight for the initiative was delegated to an Executive Committee composed of representatives from the ACR, the RSNA, the American Association of Physicists in Medicine, and the American Society of Radiologic Technologists. Under the leadership of E. Stephen Amis, MD, FACR, and James A. Brink, MD, FACR, Image Wisely was formally introduced at a special session during the RSNA annual meeting in 2010 . The joint task force was retired in 2015 and the Executive Committee, currently under the leadership of Richard L. Morin, PhD, FACR, and William W. Mayo-Smith, MD, FACR, has expanded to include experts from its constituent societies. The initial objectives of Image Wisely centered on raising awareness about the levels of radiation used to produce high-quality diagnostic medical images through a social marketing initiative and the creation of an informational website. Since its inception, Image Wisely has stressed the “as low as reasonably achievable” principle by focusing on appropriate examination indications and optimization of imaging techniques to achieve diagnostic quality examinations. Image Wisely has highlighted the importance of optimizing techniques (rather than simply reducing radiation used) to avoid repeating nondiagnostic examinations. The launch of ImageWisely.org offered individuals and practices the opportunity to pledge to optimize the use of radiation in patients undergoing imaging. The campaign has created online content for radiologists, medical physicists, radiologic technologists, and referring clinicians, with patient links to RadiologyInfo.org. Additionally, vendor microsites were created to translate the general principles of Image Wisely to specific equipment used in practices.