Child Imaging Safety: Global Advocacy & Meetings


IAEA - WHO-Government of Tanzania



Regional workshop to raise awareness on medical physicists’ roles in ensuring safety in imaging- with emphasis on pediatric imaging. Dar es Salaam, Republic of Tanzania. 26th - 28th November 2014. 


The workshop was organized by the International Atomic Energy Agency (IAEA) in cooperation with the World Health Organization (WHO) and supported by the Government of Tanzania under AFRA project RAF-6048. Participants at the workshop included medical physicists and senior officials of the Health ministries of 26 African Countries, Officers of the Ocean Road Cancer Institute, Tanzania, and the Africa representative of the IAEA and WHO officials as well as experts from Europe and the USA. 


Representative for Image Gently and WFPI: Dr Ademola Aekanmi, Consultant Radiologist, Department of Radiology, University College hospital, Ibadan, Nigeria (images above, below). 

 for full report 

Workshop conclusion:

  • Considering the impact of radiation hazards in the African population (where data of radiation exposure is often lacking); 
  • noting that children are more radiosensitive with longer years to express non deterministic biological effects of radiation, if any; and 
  • in view of the rapidly developing technological advances with newer radiological equipment as Africa acquires more high tech imaging modalities, 

there is great need for advocacy and education on radiation effects focused on imaging professionals, referring physicians and the public on the roles of medical physicists and the urgent need of their inclusion into medical imaging professionals in all African countriesThere is also need for research into radiation doses in African countries for baseline and prognostication, thereby enhancing patient safety.


WHO Global Initiative on Radiation Safety in Healthcare Settings

Expert Meeting on Radiation Risk Communication Tool for Communicating Benefits and Risks in Pediatric Imaging

Geneva, September 9th, 2013


  • Communication tool kit on risks and benefits in pediatric imaging: expert meeting
  • Various presentations on the current draft in the morning, afternoon was spent on working groups editing chapters.
  • The plan: finish the document by end of calendar year or early 2014. This project, started more than two years ago, was delayed some due to the need for WHO to respond to the Fukushima nuclear incident.

WHO Global Initiative on Radiation Safety in Healthcare Settings

International Consultancy

Geneva, September 10 - 12th, 2013

Tuesday - Thursday

  1. Tuesday am: Focused expert meeting on radiological medical imaging of asymptomatic people for individual health assessment
  2. International Consultation on the Global initiative on Radiation Safety in Health Care Settings: intro/Tuesday pm: 60 participants from 30 countries representing 29 bodes and regional organizations, 16 national bodies and 5 academic institutions, as well as WHO staff members from headquarters and regional offices
  3. Review of WHO missions and radiation program
  4. Review of global initiative (launching in 2008, goal, projects)
  5. Review Bonn Conference December 2012: International  Conference on the Radiation Protection in Medicine - Setting the Scene for the Next Decades
  6. Review of the 10 priority actions from Bonn Conference ("Bonn Call for Action")
  7. WHO related programs: patient safety, medical devices, cancer research (IARC)
  8. WHO Regional Offices
  9. WHO network of Patients for Patient Safety presentations
  10. Statements from International organizations: addressing Bonn Call-for-action

    Present from our group: Donald Frush MD (front row, 4th from L, Image Gently/WFPI/SPR), Erich Sorantin MD (front row, 1st from L, WFPI/ESPR) & Gloria Soto MD (back row, 3rd from L, CIR/WFPI/SLARP). Meeting chair: Maria del Rosario Perez MD (2nd row, centre, WHO)

    CLICK HERE (this file may be slow to open) for the IG/WFPI statement delivered by Donald Frush MD

  11. Statements from professional societies: generally, society hx, admin, function including mission as well as successes and potential for contributions for global radiation safety: IG and WFPI presented together
  12. National Societies invited to make statements
  13. Afternoon:  Review of the meeting held on Monday and Tuesday morning (Communication expert meeting, Individual Health Assessment meeting summaries)
  14. Working Groups breakout
    WFPI representation absent from here on
  15. Report from breakout groups and discussion
  16. General strategy and specific projects for the Global Initiative (radiation risks assessment, management and communication), roadmpa, timeline, next steps).


As a WHO Collaborating Centre, a National Institute of Radiological Sciences (NIRS)-WHO Symposium on “Children and Radiation” was held in Tokyo on 8-9 December 2014.

It formed one of the activities implemented by the NIRS in support of the WHO Global Initiative (GI) on Radiation Safety in Health Care Settings.



The Symposium addressed topics in the areas of risk assessment, risk management and risk communication. 


Representative for Image Gently and WFPI: Dr. Osamu Miyazaki, Department of Radiology, National Center for Child Health and Development, Tokyo, Japan (image above and left) who presented "Image Gently, Five steps you can take to optimize image quality and lower CT dose for pediatric patients".


 Washington D.C. May 2013


The GSRQS was conceived and developed by the American College of Radiology (ACR), the European Society of Radiology (ESR), and the International Society of Radiology (ISR) to provide a robust exchange of ideas, concerns and potential solutions to quality and safety issues in diagnostic radiology. Over 50 representatives from various societies around the world attended; Dorothy Bulas MD represented both the World Federation for Ultrasound in Medicine and Biology (WUFMB) and the WFPI. Marilyn Goske MD, chair of the Alliance, spoke on quality improvement resources provided by the Image Gently Campaign and gave a brief introduction of the WFPI's mission and work to date.

The program:

  • Day 1: the Appropriateness of Imaging with presentations addressing guidelines, radiation risk, and decision support.
  • Day 2: Radiation Protection and Infrastructure with sessions on radiation dose reduction and cultural challenges.
  • Day 3: a Quality and Safety panel covering topics such as metrics, reporting, and best practices. Writing sessions in the afternoons were designed to facilitate the development of a white paper for later distribution.

With ultrasound as a major outreach initiative in third world countries, the critical need for education and quality initiatives in ultrasound was emphasized.  Who performs the US exams, who  interprets the exams, who teaches scanning techniques needs to have a commonality of quality and safety globally. These discussions  reminded all that while overutilization was an issue in this summit, underutilization cannot be ignored and is an issue all the leading societies need to take responsibility for.