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Patient who had a EOS imaging system scan

Lower doses of radiation – making X-rays safer for kids

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Pediatric Low Dose Imaging – EOS System

At Shriners Hospitals for Children, patient safety and innovation are at the core of what we do. For diagnostic imaging, many of the children we treat are diagnosed with medical conditions that require frequent X-rays. Due to this, exposure to radiation is something we try to limit as much as possible, particularly for growing children that are more sensitive to the cumulative effects of radiation over time.

EOS imaging system

The EOS imaging system emits significantly less radiation than traditional imaging technologies like standard X-rays or CT scans, and is capable of delivering high-quality 3D images for improved clinical decision-making.

  • 50% to 80% less radiation than traditional X-ray1
  • 95% less radiation than a CT-scanmicro2

EOS Low Dose Imaging system;

EOS images provide doctors with a better understanding of the medical condition and its complexity, potentially allowing for a more accurate diagnosis and improved treatment plan.

An EOS exam is performed with the patient sitting or standing in a comfortable position that highlights natural posture and joint orientation. There is no lying down or repositioning required. The EOS system uses Nobel Prize-winning technology to limit the radiation dose received by the patient when the scan is being performed. The exams are fast and easy, taking 10–15 seconds to scan the spine or lower limbs. The exam can provide clinicians with expanded two-dimensional images and three-dimensional views of the patient’s bone structure. Specialists rely on this invaluable data to make individualized diagnostic and treatment decisions.

Micro Dose capability

For conditions that require frequent medical imaging, the EOS system can reduce radiation exposure to an even lower amount with a setting called Micro Dose. The Micro Dose setting emits 20 to 45 times less radiation than a traditional X-ray exam.1 Radiation dose from a Micro Dose exam is similar to one week of natural radiation on Earth.3 Between standard low dose exams and Micro Dose exams, many scientific publications have validated the EOS system as the low dose imaging leader in orthopaedic imaging.1, 3, 4

How does the EOS system work?

The EOS system is an advanced type of X-ray that uses two exceptionally fine beams to scan from the top down, most commonly capturing high-quality images of a large part of the body, like the spine, knees and hips together. Instead of having to combine (stitch) together multiple X-ray images, the EOS system allows for one complete image to provide an uncompromised look at the patient's anatomy.

While traditional X-rays give us a snapshot, the EOS system provides a larger-scale, panoramic view. This is a truly innovative approach, especially when it comes to treating complex orthopaedic conditions like spinal disorders. EOS exams allow physicians to better understand the complicated interplay between different musculoskeletal regions. Most importantly, EOS exams are safe, fast and provide excellent image quality while adhering to the ALARA imaging standard for radiation. ALARA is an acronym for "as low as reasonably achievable," meaning to make every reasonable effort to maintain exposures to ionizing radiation as far below the dose limits as practical.

The EOS imaging system provides accurate, clear imaging

In addition to its low radiation and high-quality images, the EOS system also helps develop 3D models that are critical to preoperative research and planning.

For example, when surgery is necessary, Shriners Hospitals for Children leverages advanced surgical planning capabilities from EOS 3D models that allow our orthopaedic surgeons to virtually simulate a variety of surgical strategies and scenarios, aiming to improve the understanding of treatment goals.

Patients who may benefit from the EOS system

Because the EOS system can reduce radiation exposure from medical imaging that may increase the risk of cancers later in life, it's ideal for children who have medical conditions that require multiple X-rays as they grow. Children with scoliosis, for example, usually undergo three to four radiography exams every year. EOS imaging makes routine imaging easier, safer and more comfortable.

Pediatric low dose imaging X-rays with EOS imaging system 

Children with the following conditions may benefit from an EOS exam:

Shriners Hospitals for Children is proud to be home to more EOS systems than any other health care organization. Frequent scans and medical testing can be frightening to a developing child who's already navigating a complex condition. We strive to make the experience as smooth and non-threatening as possible so that every child feels safe and secure.

Conditions, treatments and services provided may vary by location. Please consult with the Shriners Hospitals for Children location nearest you. See zip code search feature to the right.

EOS imaging system Shriners Hospitals for Children locations

Shriners Hospitals for Children is dedicated to helping families find their way to healing, recovery and adjustment; no matter what the diagnosis. We offer EOS imaging at a number of our locations:

1. Smith, JS, Shaffrey, CI, Bess, S, Et. Al., Recent and Emerging Advances in Spinal Deformity, Neurosurgery 2017, 2017 Mar 1;80(3S):S70-S85. doi: 10.1093/neuros/nyw048.,

2. Delin, C, Silvera, S, Bassinet, C, Et. Al., Ionizing radiation doses during lower limb torsion and anteversion measurements by EOS stereoradiography and computed tomography, Eur J Radiol, 2014 Feb;83(2):371-7. doi: 10.1016/j.ejrad.2013.10.026. Epub 2013 Nov 7,

3. Ilharreborde, B, Ferrero, E, Alison, M, Et. Al., EOS microdose protocol for the radiological follow-up of adolescent idiopathic scoliosis, Eur Spine J. 2016 Feb;25(2):526-31. doi: 10.1007/s00586-015-3960-8. Epub 2015 Apr 24.,

4. Duschenes, S, Charron, G, Beaudoin, G, Diagnostic imaging of spinal deformities: reducing patients radiation dose with a new slot-scanning X-ray imager, Spine (Phila Pa 1976). 2010 Apr 20;35(9):989-94. doi: 10.1097/BRS.0b013e3181bdcaa4.,

Request an Appointment

Most major insurance providers are accepted; however, insurance coverage is not required for care. Any child under 18 with a medical condition or medical need that is within the health care system’s scope of services, is eligible for care. Shriners Hospitals for Children offers financial assistance to those in need.

Find a Location Near You

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22 Locations Across North America

Location Specialties
  • Burn Care
  • Craniofacial and Cleft Lip/Palate
  • Neuromuscular
  • Orthopaedics
  • Orthotics and Prosthetics
  • Pediatric Surgery
  • Spinal Cord Injury
  • Sports Injury and Fractures
  • Therapy and Rehabilitation

Notice: Treatments and services vary by location. Contact nearest hospital for specific details.

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