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Pledge for Imaging Professionals Yes, I want to image wisely. I wish to optimize the use of radiation in imaging patients and thereby pledge: 1. To put my patients’ safety, health, and welfare first by optimizing imaging examinations to use only the radiation necessary to produce diagnostic-quality images; 2. To convey the principles of the Image Wisely program to the imaging team in order to ensure that my facility optimizes its use of radiation when imaging patients; 3. To communicate optimal patient imaging strategies to referring physicians, and to be available for consultation; 4. To routinely review imaging protocols to ensure that the least radiation necessary to acquire a diagnosticquality image is used for each examination. NOVEMBER 2011 / WWW.IMAGEWISELY.ORG 1 ©American College of Radiology LEVEL 2 – Level 1 + earn accreditation from an organization that directly evaluates the following radiation-related attributes: Radiation dose indices and compliance with accreditation pass/fail thresholds Clinical image quality (peer-reviewed by an external, qualified interpreting physician) Phantom image quality (peer-reviewed by an external, qualified medical physicist) Personnel (qualifications set by the accrediting organization) LEVEL 3 – Level 2 + participate in a dose index registry (local or national) that includes routine evaluation of procedures and dose indices. You may use the Image Wisely logo for your facility by pledging to the minimum Image Wisely criteria for CT outlined in Level 1 above. By submitting the pledge form, you confirm that you are authorized to pledge on behalf of your facility and you have verified that your facility meets the criteria listed above. NOVEMBER 2011 / WWW.IMAGEWISELY.ORG 2 ©American College of Radiology