Optimization of Radiological Scoliosis Assessment Optimization of Radiological Scoliosis Assessment Authors Goya Enríquez a *, Joaquim Piqueras b , Ana Catalá b , Gloria Oliva c , Agustí Ruiz d , Montserrat Ribas d , Carmina Duran e , Carlos Rodrigo f , Eugenia Rodríguez g , Victoria Garriga h , Teresa Maristany i , Cesar García-Fontecha b , Joan Baños j , Jordi Muchart i y Fernando Alava c a Vall d’Hebron Institut de Recerca, Barcelona, Spain b Hospital Universitari Vall d'Hebron, Barcelona, Spain c Servicio de Promoción de la Seguridad del Paciente. Departament de Salut. Generalitat de Catalunya, Barcelona, Spain d Hospital de la Santa Creu i Sant Pau, Barcelona, Spain e UDIAT-SDI Corporació Sanitaria i Universitària Parc Taulí, Sabadell, Spain f Hospital Germans Trias i Pujol, Badalona, Spain g Cap del SDPI Poblenou. Barcelona, Spain h Hospital General de Granollers, Granollers, Spain i Hospital Sant Joan de Déu, Esplugues de Llobregat, Barcelona, Spain j Hospital Universitari Doctor Josep Trueta, Girona, Spain *Corresponding Author e-mail: goyaenriquez@gmail.com (G. Enríquez) Abstract Most scoliosis are idiopathic (80%) and occur more frequently in adolescent girls. Plain radiography is the imaging method of choice, both for the initial study and follow-up studies but has the disadvantage of using ionizing radiation. The breasts are exposed to x- ray along all follow-up imaging examinations. The authors present a range of recommendations in order to optimize radiographic examination technique for conventional 1